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Phenytoin IV Dilution

By Gail Sanchez posted 12-04-2024 13:30

  

Hi ASHP Community,

Anyone willing to share how you are diluting IV phenytoin doses in order to have a final concentration of no less than 5mg/ml?

Thanks so much! Gail 

Gail M. Sanchez, PharmD, BCPS, DPLA

Cambridge Health Alliance

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12-18-2024 16:17

For doses <1 gram it should be diluted in 100ml NS. For doses >1gram should be diluted in 250ml NS. That should keep the concentration within the 5mg/ml range.

500ml/100ml NS

250mg/50ml NS

125mg/25ml NS