IV Phenytoin / Fosphenytoin Loading Dose Calculator

Calculates IV phenytoin or fosphenytoin loading dose for seizures and status epilepticus. Phenytoin: 20 mg/kg IV at ≤50 mg/min in NS (NEVER D5W — precipitates). Fosphenytoin: 20 mg PE/kg at up to 150 mg PE/min — preferred for IV use due to better tolerability. Monitor for hypotension, cardiac arrhythmias, and purple glove syndrome during infusion.

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Clinical Guidance

BMI is a screening measure of body size, not a direct measure of body fat. The standard WHO categories are underweight (<18.5), normal (18.5–24.9), overweight (25–29.9), and obese (≥30).

BMI can overestimate body fat in athletes with high muscle mass and underestimate it in older adults with low muscle mass. Interpret it alongside waist circumference and clinical context rather than as a standalone diagnosis.

⚕ Clinical Disclaimer: These calculators are for educational and reference purposes only. Always verify results with qualified clinical judgment and current clinical guidelines. Do not use as a sole basis for medical decisions.
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How to Use

Enter the values for the scenario you are assessing. Calculates IV phenytoin or fosphenytoin loading dose for seizures and status epilepticus. Phenytoin: 20 mg/kg IV at ≤50 mg/min in NS (NEVER D5W — precipitates). Fosphenytoin: 20 mg PE/kg at up to 150 mg PE/min — preferred for IV use due to better tolerability. Monitor for hypotension, cardiac arrhythmias, and purple glove syndrome during infusion. Use the phenytoin load result to inform your calculation.

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