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10.1310/hpj5005-391 http://scihub22266oqcxt.onion/10.1310/hpj5005-391 C4567206!4567206!26405326     free     free     free Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Hosp+Pharm 2015 ; 50 (5): 391-5 Nephropedia Template TP {{tp|p=26405326|t=2015. Phenytoin-Induced Purple Glove Syndrome: A Case Report and Review of the Literature |pdf=|usr=}}{{26405326}} gab.com Text Phenytoin-Induced Purple Glove Syndrome: A Case Report and Review of the Literature JO: Hosp Pharm http://www.kidney.de/pget.php?&tw=1&pmid=26405326 #FOAvip Objective:: To present a case report and literature review of phenytoin-induced purple glove syndrome (PGS). Case summary:: A 54-year-old African American male presented to our hospital?s emergency department (ED) following a seizure episode, cardiac arrest, and loss of consciousness. On arrival to the ED, the patient?s total phenytoin level was subtherapeutic at 4.1 mcg/mL and his corrected total phenytoin level was subtherapeutic at 5.1 mcg/mL. In the ED, the patient received a loading dose of intravenous (IV) phenytoin 1,000 mg once via the left cephalic vein, at a rate of 50 mg/min, and was admitted to the medicine service. A day following IV phenytoin administration, a nurse noticed an IV fluid infiltration on the skin tissue around the left cephalic vein. The area appeared dark blue and purple in color, swollen, erythematous, and warm to touch. An ultrasound of the left upper extremity was performed and revealed subcutaneous fluid collection without evidence of thrombosis. Discussion:: The Naranjo Adverse Drug Reaction Probability Scale assigned a score of 7, indicating phenytoin as the probable cause of purple glove syndrome (PGS). The patient?s PGS was managed with a combination of dry dressing material, left forearm elevation, collagenase topical cream, 0.1% IV bupivacaine, and IV fentanyl. The patient?s injury was resolving at the time of discharge to a rehabilitation facility. Conclusion:: PGS is a rare complication of IV phenytoin therapy. The risk of PGS for this patient may have been abated by decreasing the phenytoin infusion rate from 50 mg/min to less than 25 mg/min. Twit Text FOAVip Phenytoin-Induced Purple Glove Syndrome: A Case Report and Review of the Literature ????Hosp Pharm http://www.kidney.de/pget.php?&tw=1&pmid=26405326 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26405326 #FOAvip English Wikipedia <ref>{{Cite pmid|26405326}}</ref> Phenytoin-Induced Purple Glove Syndrome: A Case Report and Review of the Literature #MMPMID26405326 Okogbaa JI; Onor IO; Arije OA; Harris MB; Lillis RA Hosp Pharm 2015[May]; 50 (5): 391-5 PMID26405326show ga Objective:: To present a case report and literature review of phenytoin-induced purple glove syndrome (PGS). Case summary:: A 54-year-old African American male presented to our hospital?s emergency department (ED) following a seizure episode, cardiac arrest, and loss of consciousness. On arrival to the ED, the patient?s total phenytoin level was subtherapeutic at 4.1 mcg/mL and his corrected total phenytoin level was subtherapeutic at 5.1 mcg/mL. In the ED, the patient received a loading dose of intravenous (IV) phenytoin 1,000 mg once via the left cephalic vein, at a rate of 50 mg/min, and was admitted to the medicine service. A day following IV phenytoin administration, a nurse noticed an IV fluid infiltration on the skin tissue around the left cephalic vein. The area appeared dark blue and purple in color, swollen, erythematous, and warm to touch. An ultrasound of the left upper extremity was performed and revealed subcutaneous fluid collection without evidence of thrombosis. Discussion:: The Naranjo Adverse Drug Reaction Probability Scale assigned a score of 7, indicating phenytoin as the probable cause of purple glove syndrome (PGS). The patient?s PGS was managed with a combination of dry dressing material, left forearm elevation, collagenase topical cream, 0.1% IV bupivacaine, and IV fentanyl. The patient?s injury was resolving at the time of discharge to a rehabilitation facility. Conclusion:: PGS is a rare complication of IV phenytoin therapy. The risk of PGS for this patient may have been abated by decreasing the phenytoin infusion rate from 50 mg/min to less than 25 mg/min. äPhenytoin-Induced Purple Glove Syndrome: A Case Report and Review of t(epmc).pdf DeepDyve Pubget Overpricing