Question

14.List effect of hydantoins on platelets and white blood cells (p. 249 Side Effects) 15. Deseribe the effect of hydantoins on the gums 16. Explain why hydantoins interact with anticoagulants and aspirin (Drug Interactions) 17. Explain why care should be taken when giving valproic acid to patients with liver disorders (Valproate) 18. Name the lab test used to monitor blood dyscrasias in patients taking phenytoin (p. 254 Nursing Process: Interventions)

Answer 1

14) Hydantoins can I count to drop coute platelet and white balead celle increasing the risk of bleeding a infection cs) Hydantoins causes hypertes ophy and hyperplasia of the gum with oedema and bleeding. This occurs due to excessive growth of gingivad Collagen tibres .

11) Valproic aúd may cause Serious of life threatening damage to the liver for that reason care should taken to administer valproic acid to patients with liver disorders 8) Complete blood count is the test uted to monitor blood dyscrasies in patients taking phenytoin. Because phenytoin Causes marked depression of blood count

16) * Hydantoins are potent inducers of cytochrome 8450 System and hydantoine interact with the anti-coagulants : * Aspirin displaces hydantoin from the protein binding sites