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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Dilantin Levels Be Reduced In The Bloodstream?

If you have Dilantin toxicity, what do you do for a pt to decrease this amount in blood stream. Say, 72.7 Dilantin level
is the concerning number. Pt has nausea and vomiting and just had a lung biopsy and went without breakfast. Pt presents to the er with N/V. What tests would you run besides BS, CBC, Dilantin Level?
Wed, 22 Jun 2016
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Hematologist 's  Response
Hi, dear
I have gone through your question. I can understand your concern.

Dilantin toxicity is emegency condition and airway and breathing should be taken care first.

Multiple dosage of activated charcol should be given for GI decontamination.
Benzodiazepines are given to control seizures.

Many investigations are required for high dialantin level.

First of history of other drug and possible interaction should be taken and if required other drug levels should be done.
CBC, liver function test and electrolytes level are routinely investigated.

Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer.
Thanks for using health care magic. Wish you a very good health.
I find this answer helpful
Hematologist Dr. Hardik Sanghvi's  Response
Hi, dear
I have gone through your question. I can understand your concern.

Dilantin toxicity is emegency condition and airway and breathing should be taken care first.

Multiple dosage of activated charcol should be given for GI decontamination.
Benzodiazepines are given to control seizures.

Many investigations are required for high dialantin level.

First of history of other drug and possible interaction should be taken and if required other drug levels should be done.
CBC, liver function test and electrolytes level are routinely investigated.

Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer.
Thanks for using health care magic. Wish you a very good health.
I find this answer helpful

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How Can Dilantin Levels Be Reduced In The Bloodstream?

Hi, dear I have gone through your question. I can understand your concern. Dilantin toxicity is emegency condition and airway and breathing should be taken care first. Multiple dosage of activated charcol should be given for GI decontamination. Benzodiazepines are given to control seizures. Many investigations are required for high dialantin level. First of history of other drug and possible interaction should be taken and if required other drug levels should be done. CBC, liver function test and electrolytes level are routinely investigated. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using health care magic. Wish you a very good health.