What intervention is important when monitoring a patient on Phenobarbital?

What intervention is important when monitoring a patient on Phenobarbital?

• A. Track blood pressure regularly
• B. Monitor vitals and check for angioedema
• C. Assess for gastrointestinal bleeding
• D. Evaluate visual acuity

Answer: (B)

Monitoring a patient on Phenobarbital requires particular attention to vital signs and the potential risk of angioedema, which is a rare but serious side effect associated with this barbiturate. Phenobarbital is primarily used as an anticonvulsant medication and can lead to respiratory depression, sedation, or allergic reactions, including angioedema, which is characterized by swelling of the deeper layers of the skin, often around the eyes and lips, and may also affect the throat. Regularly checking vital signs can help identify early signs of respiratory distress or allergic reaction. Early detection is crucial because angioedema can compromise airway patency and require immediate intervention. Ensuring the patient is safe by continuously monitoring these factors is an integral part of patient care when administering Phenobarbital. While other interventions could be relevant in specific situations, such as monitoring blood pressure for different medications that have cardiovascular implications or assessing for gastrointestinal bleeding with medications that cause ulcers or similar side effects, these are not as directly linked to the pharmacological effects and potential adverse reactions of Phenobarbital. Visual acuity is not a direct concern with this medication, making close monitoring of vitals and potential allergic reactions more pertinent for patient safety.

Monitoring a patient on Phenobarbital requires particular attention to vital signs and the potential risk of angioedema, which is a rare but serious side effect associated with this barbiturate. Phenobarbital is primarily used as an anticonvulsant medication and can lead to respiratory depression, sedation, or allergic reactions, including angioedema, which is characterized by swelling of the deeper layers of the skin, often around the eyes and lips, and may also affect the throat.

Regularly checking vital signs can help identify early signs of respiratory distress or allergic reaction. Early detection is crucial because angioedema can compromise airway patency and require immediate intervention. Ensuring the patient is safe by continuously monitoring these factors is an integral part of patient care when administering Phenobarbital.

While other interventions could be relevant in specific situations, such as monitoring blood pressure for different medications that have cardiovascular implications or assessing for gastrointestinal bleeding with medications that cause ulcers or similar side effects, these are not as directly linked to the pharmacological effects and potential adverse reactions of Phenobarbital. Visual acuity is not a direct concern with this medication, making close monitoring of vitals and potential allergic reactions more pertinent for patient safety.