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tyannaaaa tyannaaaa
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6 years ago
A nurse is caring for an 81-year-old patient in a long-term care facility who takes nine different medications each day.
 
  The patient has a recent diagnosis of seizure disorder and has begun treatment with phenytoin (Dilantin), a highly protein-bound drug. After 1 month of Dilantin therapy, the patient is still extremely drowsy and sluggish. The nurse determines that the prolonged adverse effect is likely due to
  A) an increase in creatinine to be filtered.
  B) polypharmacy decreasing the number of available protein-binding sites.
  C) increased efficiency of the bloodbrain barrier.
  D) the normally low protein-binding properties of Dilantin.
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mh777mh777
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6 years ago
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Thanks for your help!!
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