title: Requirement for cardiac telemetry during intravenous phenytoin infusion: guideline fact or guideline fiction?
abstract: Guidelines recommend the use of cardiac telemetry when phenytoin is administered intravenously. Clinical areas where telemetry is available may not always be the most suitable place to monitor and treat these sick patients. We sought to clarify the evidence regarding the need for cardiac telemetry during intravenous infusion of phenytoin.
authors.affiliation: Division of Pharmacy, Flinders Medical Centre; School of Medicine, Adelaide, South Australia, Australia. wendy.siebert@health.sa.gov.au
authors.forename: W J
authors.initials: WJ
authors.lastname: Siebert
authors.forename: A D
authors.initials: AD
authors.lastname: McGavigan
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000889:Anti-Arrhythmia Agents / Q000008:administration & dosage* / Q000009:adverse effects; D000927:Anticonvulsants / Q000008:administration & dosage* / Q000009:adverse effects; D001145:Arrhythmias, Cardiac / Q000139:chemically induced* / Q000175:diagnosis; D001315:Australia; D001919:Bradycardia / Q000139:chemically induced / Q000175:diagnosis; D004342:Drug Hypersensitivity / Q000401:mortality; D005260:Female; D006323:Heart Arrest / Q000139:chemically induced* / Q000401:mortality / Q000517:prevention & control; D006334:Heart Function Tests / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D007231:Infant, Newborn; D007262:Infusions, Intravenous; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic / Q000592:standards* / Q000706:statistics & numerical data; D010672:Phenytoin / Q000008:administration & dosage* / Q000009:adverse effects; D017410:Practice Guidelines as Topic; D013686:Telemetry / Q000592:standards* / Q000706:statistics & numerical data; D019564:Unnecessary Procedures; D055815:Young Adult
chemical_list: D000889:Anti-Arrhythmia Agents; D000927:Anticonvulsants; D010672:Phenytoin