Assignment Task: GH, a 26-year-old woman, takes phenytoin 100 mg three times daily to control tonic-clonic seizures.
She and her husband are contemplating starting a family.
GH complains of frequent upset stomach and bleeding gums when brushing her teeth.
Using drug card for phenytoin, answer the following questions:
1. To decrease GI distress, what can be suggested?
2. To alleviate bleeding gums, what patient teaching for GH must be included?
3. The nurse checks GH's serum phenytoin level.
What are the indications of an abnormal serum level?
4. What appropriate actions should be taken?