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Benztropine (Cogentin) Nursing Considerations

Benztropine (Cogentin) Nursing Considerations

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Outline

Generic Name

Benztropine

Trade Name

Cogentin

Indication

Treatment for Parkinson’s disease

Action

Exhibits anticholinergic properties (blocks acetylcholine) in the CNS to reduce rigidity and tremors

Therapeutic Class

Antiparkinson agent

Pharmacologic Class

Anticholinergic

Nursing Considerations

• May lead to arrhythmias, hypotension, palpitations, and tachycardia
• Anticholinergic effects like constipation, dry mouth
• Assess for extrapyramidal symptoms
• Instruct patient to take as directed
• Instruct patient to maintain good oral hygiene

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Transcript

Hey guys, let’s talk about benztropine, also known as Cogentin. This is an oral or injectable medication. As you can see here, this is packaging for the intravenous or intramuscular injection.

So remember that the therapeutic class is what the drug does in the body while the pharmacologic class is the actual chemical effect in the body. So the therapeutic class of benztropine is an anti-Parkinson agent with a Pharmacologic class being an anticholinergic. So how does this medication work? So it works by exhibiting anticholinergic properties in the central nervous system. It blocks acetylcholine and reduces rigidity and tremors, which is why it is indicated for Parkinson’s disease. So because of benztropine’s anticholinergic effects, it can cause dry mouth and constipation. Palpitations and arrhythmias are additional side effects of this medication. So let’s take a look at a few nursing considerations, for benztropine. Assess for extrapyramidal symptoms like rigidity, slow movements, and motor restlessness. Monitor your patient for hypotension, palpitations, and tachycardia. There have been some reported cases of severe vomiting from withdrawal from benztropine, so keep that in mind. And finally, you’re going to want to teach your patient to take as directed and maintain good oral hygiene while on this medication. So, guys, some patients take benztropine at bedtime because it has a long duration of action making it easier for them to turn in bed and also to get up in the morning.

Okay. That is it for benztropine or Cogentin. Now go out and be your best self today and as always happy nursing.

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Pharmacololgy/Dosage Calc

Concepts Covered:

Study Plan Lessons

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Histamine 1 Receptor Blockers

Histamine 2 Receptor Blockers

Histamine 2 Receptor Blockers

HMG-CoA Reductase Inhibitors (Statins)

Corticosteroids

Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)

Benzodiazepines

Calcium Channel Blockers

Parasympathomimetics (Cholinergics) Nursing Considerations

Cardiac Glycosides

Autonomic Nervous System (ANS)

Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)

ACE (angiotensin-converting enzyme) Inhibitors

Angiotensin Receptor Blockers

Atypical Antipsychotics

Injectable Medications

IV Infusions (Solutions)

Complex Calculations (Dosage Calculations/Med Math)

Renin Angiotensin Aldosterone System

Basics of Calculations

Dimensional Analysis Nursing (Dosage Calculations/Med Math)

Oral Medications

The SOCK Method – S

The SOCK Method – O

The SOCK Method – C

The SOCK Method – K

Essential NCLEX Meds by Class

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The SOCK Method – Overview

12 Points to Answering Pharmacology Questions

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ACLS (Advanced cardiac life support) Drugs

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The SOCK Method – O

The SOCK Method – C

The SOCK Method – K

The SOCK Method – S

Complex Calculations (Dosage Calculations/Med Math)

IV Infusions (Solutions)

Injectable Medications

Oral Medications

Dimensional Analysis Nursing (Dosage Calculations/Med Math)

Basics of Calculations

Pharmacokinetics

Pharmacodynamics

NG Tube Medication Administration

Disease Specific Medications

Proton Pump Inhibitors

Anti-Infective – Penicillins and Cephalosporins

Parasympatholytics (Anticholinergics) Nursing Considerations

Nitro Compounds

Magnesium Sulfate

HMG-CoA Reductase Inhibitors (Statins)

Histamine 2 Receptor Blockers

Histamine 1 Receptor Blockers

Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)

Corticosteroids

Cardiac Glycosides

Calcium Channel Blockers

Benzodiazepines

Autonomic Nervous System (ANS)

Atypical Antipsychotics

Angiotensin Receptor Blockers

ACE (angiotensin-converting enzyme) Inhibitors

Renin Angiotensin Aldosterone System

6 Rights of Medication Administration

Essential NCLEX Meds by Class

Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)

54 Common Medication Prefixes and Suffixes

12 Points to Answering Pharmacology Questions

Pharmacology Course Introduction