Units: US SI

Phenytoin/Dilantin Correction for Albumin or Renal Failure

Patient's calculated Creatinine Clearance < 20? Yes
Phenytoin Level mg/L
Serum Albumin g/dL
Corrected Phenytoin mg/L

The Sheiner-Tozer Equation is Used for an Accurate Estimate:
Corrected Phenytoin = Measured Phenytoin Level / ( (adjustment x albumin) + 0.1)

Adjustment = 0.2; In patients with Creatinine Clearance < 20, adjustment = 0.1.

Martin E, Tozer TN, Sheiner LB, Riegelman S. The clinical pharmacokinetics of phenytoin. J Pharmacokinet Biopharm. 1977 Dec;5(6):579-96.

Posted in: Critical CareNeurologicNeurology

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