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Tylerkennett Tylerkennett
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6 years ago
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.
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wrote...
6 years ago
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.
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