MRCP UK EXAMINATIONS

CARDIOLOGY

VENTRICULAR SEPTAL DEFECT

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
To prevent a common, adverse effect of prolonged use of phenytoin sodium (Dilantin), patients taking the drug are instructed to:
A
Avoid crowds and obtain an annual influenza vaccination.
B
Drink at least 2 L of fluids daily, including 8 to 10 glasses of water.
C
Eat a potassium-rich, low sodium diet.
D
Practice good dental hygiene and report gum swelling or bleeding
Explanation: 

Detailed explanation-1: -These symptoms can be a sign that the dose is too high for you. Stick to simple meals and do not eat rich or spicy food. It might help to take your phenytoin after a meal or snack. Drink plenty of fluids such as water or squash.

Detailed explanation-2: -Check with your doctor right away if you have pain or tenderness in the upper stomach, pale stools, dark urine, loss of appetite, nausea, vomiting, or yellow eyes or skin. Phenytoin can temporarily lower the number of white blood cells in your blood, increasing the chance of getting an infection.

Detailed explanation-3: -The most common side effects of DILANTIN include irregular movement of the eye, problems with walking and coordination, slurred speech, trouble sleeping, confusion, dizziness, nervousness, tremor, headache, and nausea.

Detailed explanation-4: -In some patients (usually younger patients), tenderness, swelling, or bleeding of the gums (gingival hyperplasia) may appear soon after phenytoin treatment is started. To help prevent this, brush and floss your teeth carefully and regularly and massage your gums.

There is 1 question to complete.