A patient who takes haloperidol (Haldol) for a diagnosis of schizophrenia has a dystonic reaction
Benztropine (Cogentin) 2 mg is given intramuscularly and then continued orally twice daily. Three days later, the patient has fever, disorientation, and tachycardia. Select the best analysis of this scenario.
a. Tardive dyskinesia has emerged.
b. Benztropine toxicity has developed.
c. Extrapyramidal symptoms have returned.
d. Dopaminergic benztropine effects have exacerbated the psychosis.
B
CNS hyperstimulation from anticholinergics causes fever, disorientation, excitement, agitation, delirium, and hallucinations as well as cardiovascular, urinary, and gastrointestinal symptoms. Collectively, these findings indicate anticholinergic toxicity. The symptoms described in the scenario do not accurately reflect any of the other options.
You might also like to view...
What is the action of vitamin A within the body?
a. Treat blood deficiency when doing a blood transfusion b. Stop bleeding c. Make stool softer d. Treat eye diseases and night blindness
In obtaining a teenage client's history, what should the nurse consider as an early indicator of substance abuse?
1. An increasing tolerance for alcohol 2. Drinking beer with friends after a football game 3. A desire to stop drinking 4. Six absences from school in 1 year
All of the following clinical signs may be present with hypoxia. However, only two are specific indicators of hypoxia (that is, if they are present, it means that the patient is probably hypoxic). Which ones are specific indicators of hypoxia?
1) Feelings of anxiety 2) Crackles in the lung bases 3) Increased heart rate 4) Improved breathing in upright position
Convert 2ΒΌ days to an equivalent amount in minutes
1. 2,880 minutes 2. 3,120 minutes 3. 3,240 minutes 4. 3,360 minutes