The Effect of Sodium Bicarbonate on the Stability of Phenytoin IV Solutions

Abstract

Objectives: To determine if a change in the amount of sodium bicarbonate (NaHCO3) in 5 different IV solutions will help prevent phenytoin from falling out of solution (i.e. precipitating). Our working hypothesis is that the stability of the phenytoin solution will change with different IV solutions and will increase with increasing the amount of sodium bicarbonate. Methods: A constant amount of phenytoin injection solution was mixed with a constant amount of one IV solution per beaker. Different amounts of alkalizing agents were then added to each phenytoin and IV mixture. Precipitation of the mixtures was observed every 30 minutes for 4 hours, then again in 24 hours. Results: When different IV solutions were added to the phenytoin and alkalizing agent mixture , the pH of the mixture dropped from 10 to 9 independent of the amount of alkalizing agent present in the mixture. All phenytoin mixtures precipitated within 60 minutes; 0.9% NaCl and phenytoin mixture being the one with the most delayed precipitation. Conclusions: Based on the result of this experiment, we rejected both of our specific aim hypotheses. Our hypothesis is rejected because the stability of the phenytoin solution will not change by using different IV solutions or by changing the amount of sodium bicarbonate.