I'd love to know how to avoid the precipitates too! We rarely see IV dilantin, but when we do it will usually plug the PICC.
Alma Kooistra RN, CRNI
From: "Cole, Darilyn - MET" <[EMAIL PROTECTED]>
To: "Venous List (E-mail)" <[EMAIL PROTECTED]>
Subject: Dilantin
Date: Mon, 9 Jan 2006 10:13:13 -0700
I am revisting this topic because of an ongoing problem with dilantin
precipitates in our picc lines.
I want our pharmacy to stock fosphenytoin, they say it too expensive and
that the problem is strictly a nursing issue.
What I need to know is how have you addressed this problem in your facility.
It would also be helpful to have some article references that I can pass on
to the Pharmacy and Therapeutics committee on the general safety of
fosphenytoin vs phentoin.
Thanks in advance,
Darilyn Cole, RN CRNI
IV Therapy Dept.
Methodist Hospital
7500 Timberlake Way
Sacramento, CA 95823
