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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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Concepts Covered:

Study Plan Lessons

Anatomy & Physiology Course Introduction

Blood Pressure (BP) Control

Breathing Control

Bowel Elimination

Drawing Blood from the IV

Gastrointestinal (GI) Course Introduction

Formation & Excretion of Urine

Inserting a Foley (Urinary Catheter) – Male

Male Reproductive Anatomy (Anatomy and Physiology)

Nursing Care Plan (NCP) for Bronchoscopy (Procedure)

Skeletal Muscle

Skin Structure & Function

Small Intestine

Types of Epithelial (Skin) Tissue

Urinary System Anatomy (Anatomy and Physiology)

Development of Bones

Female Reproductive Anatomy (Anatomy and Physiology)

Intro to Circulatory System

Large Intestine

Liver & Gallbladder

Muscle Contraction

Muscle Physiology

Nervous System Anatomy

Renal (Kidney) Structure & Function

Respiratory A&P Module Intro

Respiratory Functions of Blood

Respiratory Structure & Function

Selecting THE vein

Skeletal Anatomy

ABG Course (Arterial Blood Gas) Introduction

Arterial Pressure Monitoring

Breathing Movements

Calculating Heart Rate

Cardiac (Heart) Physiology

Cardiac A&P Module Intro

Connective Tissues

Digestion & Absorption

Digestive System Anatomy

Body Image Changes Throughout Development

Cultural Awareness and Influences on Development

Cultural Considerations (Interpretive Services, Privacy, Decision Making) for Certified Emergency Nursing (CEN)

Day in the Life of a Hospice, Palliative Care Nurse

Developmental Considerations for End of Life Care

Developmental Considerations for the Hospitalized Individual

Developmental Stages and Milestones

End of Life for Progressive Care Certified Nurse (PCCN)

End-of-Life and Palliative Care (Organ and Tissue Donation, Advance Directives, Care Withholding, Family Presence) for Certified Emergency Nursing (CEN)

Environmental and Genetic Influences on Growth & Development

Erikson’s Theory of Psychosocial Development

Family Structure and Impact on Development

Geriatric: IV Insertion

Growth & Development – Neonate

Growth & Development – Toddlers

Growth & Development – Early Adulthood

Growth & Development – Infants

Growth & Development – Late Adulthood

Growth & Development – Middle Adulthood

Growth & Development – Preschoolers

Growth & Development – School Age- Adolescent

Growth & Development – Toddlers

Growth & Development -Transitioning to Adult Care

Growth and Development – Prenatal

Handling Death and Dying

Human Growth & Development Course Introduction

Kohlberg’s Theory of Moral Development

Overview of Childhood Growth & Development

Overview of Developmental Theories

Pain Management for the Older Adult – Live Tutoring Archive

Palliative Care for Progressive Care Certified Nurse (PCCN)

Piaget’s Theory of Cognitive Development

Postmortem Care

54 Common Medication Prefixes and Suffixes

Alpha-fetoprotein (AFP) Lab Values

Carboxyhemoglobin Lab Values

Cardiac Terminology

Diagnostic Testing Course Introduction

Diagnostics Terminology

Digestive Terminology

Gamma Glutamyl Transferase (GGT) Lab Values

Growth Hormone (GH) Lab Values

Hematology Oncology & Immunology Terminology

Integumentary (Skin) Terminology

Mean Corpuscular Volume (MCV) Lab Values

Mean Platelet Volume (MPV) Lab Values

Medical Terminology Course Introduction

MedTerm Basic Word Structure

MedTerm Body as a Whole

MedTerm Prefixes

MedTerm Suffixes

Metabolic & Endocrine Terminology

Methemoglobin (MHGB) Lab Values

Musculoskeletal Terminology

Myoglobin (MB) Lab Values

Neuro Terminology

Pharmacology Terminology

Prealbumin (PAB) Lab Values

Procedural Terminology

Psychiatry Terminology

Reproductive Terminology

Respiratory Terminology

Sensory Terminology

Urinary Terminology

01.01 CCRN Test Overview for CCRN Review

12 Points to Answering Pharmacology Questions

5 Rules for Powerpoint

5 Things You Never Knew About The NCLEX – Live Tutoring Archive

9 Easy Steps to Passing Every Nursing School Test | With Jon Haws, BSN, RN, Founder of NURSING.com

Acute vs Chronic

Addiction – Behavioral Problems Nursing Mnemonic (The 5 D’s)

ADLs (Activity of Daily Living) Nursing Mnemonic (BATTED)

Advanced Critical Thinking

Alcoholism – Outcomes Nursing Mnemonic (BAD)

Alkalosis and Acidosis Nursing Mnemonic (Kick Up, Drop Down)

Anatomy of an NCLEX Question

Anticholinergics – Side Effects Nursing Mnemonic (4 Can’ts)

Arterial Blood Gases Nursing Mnemonic (ROME)

Assessment for Myasthenic Crisis Nursing Mnemonic (BRISH)

Avoiding Alarm Fatigue

Backwards and Forwards

Bacterial Endocarditis – Symptoms Nursing Mnemonic (Be Joan Of Arc)

Be a Mix Tape (Rewind and Fast-Forward)

Beta 1 and Beta 2 Nursing Mnemonic (1 Heart, 2 Lungs)

Bloom’s Taxonomy

Can You Draw It

Canes Nursing Mnemonic (COAL)

Care Plan Review (Addresses Patient Considerations) for Certified Perioperative Nurse (CNOR)

Caring Licensed Practical Nurse Nursing Mnemonic (CLPN)

Caring Practices for Progressive Care Certified Nurse (PCCN)

Causes of Dyspnea Nursing Mnemonic (The 6 P’s)

Causes of Poor Gas Exchange Nursing Mnemonic (All People Can Value Lungs)

Chance’s Story on His Personal Journey

CHF Treatment Nursing Mnemonic (UNLOAD FAST)

Child Abuse/Neglect – Warning Signs Nursing Mnemonic (CHILD ABUSE)

CHO, CHO, CHON Nursing Mnemonic (CHO, CHO, CHON)

Cholinergic Crisis – Signs and Symptoms Nursing Mnemonic (SLUDGE)

Clinical Inquiry for Progressive Care Certified Nurse (PCCN)

Common Signs of Parkinson’s Nursing Mnemonic (SMART)

Community Health Tool Nursing Mnemonic (MAP-IT)

Complications of Thoracentesis Nursing Mnemonic (Patients Sometimes Bleed Internally)

Concept Map Course Introduction

Cor Pulmonale – Signs & Symptoms Nursing Mnemonic (Please Read His Text)

Course Introduction to Nursing School Preparation

Critical Thinking

Critical Thinking

Critical Thinking to Facilitate Patient Care for Certified Perioperative Nurse (CNOR)

Degree Restrictions in Career Growth

Denying Feelings

Dig for the Why

Diploma vs ADN vs BSN vs Bridge

Drawing Pictures

Drug Interactions Nursing Mnemonic (These Drugs Can Interact)

Drugs for Bradycardia & Low Blood Pressure Nursing Mnemonic (IDEA)

Duplicate Facts

E – Engagement

Electrolytes – Location in Body Nursing Mnemonic (PISO)

Emergency Drugs Nursing Mnemonic (LEAN)

Environmental Health Assessment Nursing Mnemonic (I PREPARE)

Evaluating Patient Response to Plan of Care for Certified Perioperative Nurse (CNOR)

Evaluation of Irregular Moles Nursing Mnemonic (ABCDE)

Exercise Guidelines Nursing Mnemonic (FIT)

Explaining the “Why”

Exporting and Uploading to Frame.io

Fetal Distress Interventions Nursing Mnemonic (Stop MOAN)

Fetal Wellbeing Assessment Tests Nursing Mnemonic (ALONE)

Fire Safety 1 Nursing Mnemonic (PASS)

Fire Safety 2 Nursing Mnemonic (RACE)

Formulating Nursing Diagnoses for Certified Perioperative Nurse (CNOR)

Getting Access to frame.io

Getting Started with Tech

Gluten Free Diet Nursing Mnemonic (BROW)

HESI® Prep Course Introduction

High Risk Behavior Nursing Mnemonic (HEADSS)

How to Write a Nursing Care Plan

Hyperkalemia – Causes Nursing Mnemonic (MACHINE)

Hyperkalemia – Management Nursing Mnemonic (AIRED)

Hyperkalemia – Signs and Symptoms Nursing Mnemonic (Murder)

Hypernatremia – Causes Nursing Mnemonic (MODEL)

Hypoglycemia – Signs and Symptoms Nursing Mnemonic (TIRED)

IADLS (Instrumental Activities of Daily Living) Nursing Mnemonic (SCUM)

Identifying Interventions per Nursing Diagnoses for Certified Perioperative Nurse (CNOR)

Identifying Measurable Patient Outcomes for Certified Perioperative Nurse (CNOR)

Increase MAP Nursing Mnemonic (VAK)

Inflammation- Signs and Symptoms Nursing Mnemonic (HIPER)

Interventions for Aphasia Nursing Mnemonic (PROP)

Interviewing for Nursing School

Introduction to CCMM

Jon’s Story on His Personal Journey

Lesson Elements

Lidocaine Toxicity – Signs and Symptoms Nursing Mnemonic (SAMS)

Management of Pressure Ulcers (Pressure Injuries) Nursing Mnemonic (SKIN)

MAO Inhibitors Nursing Mnemonic (TIPS)

Marie’s Story on Her Personal Nursing Journey

Medications to Prevent Seizures Nursing Mnemonic (Pretty Little Liars Forever)

Miriam’s Story on Her Personal Journey

Mnemonic for Organ Systems (MR DICE RUNS)

MSN (Masters) vs. DNP (Doctorate)

Multiple Sclerosis Symptoms Nursing Mnemonic (DEMYELINATION)

NCLEX Question Traps! – Live Tutoring Archive

NCLEX® Question Traps

Need Help Making A Study Plan? – Live Tutoring Archive

NRSNG | Closing Thoughts

NRSNG Live | 5 Things You Never Knew About NCLEX Questions

NRSNG Live | AMA (Ask Me Anything) Nursing Success Roundtable

NRSNG Live | AMA Student Panel – How I Survive (Barely) Nursing School

NRSNG Live | How I Went From Nursing School Dropout to Passing NCLEX in 75 and Teaching 18 Million Nurses

NRSNG Live | How to Get the Most out of NRSNG

NRSNG Live | How to Pass Any Nursing School Test

NRSNG Live | My Super Secret Note Taking Method

NRSNG Live | The Core Content Mastery Method and How to Use it Throughout Your Nursing Journey

NRSNG Live | The Successful State of Mind

NRSNG Live | What Your Nursing Professors Want to Tell You But Can’t

Nursing Care Plans Course Introduction

Nursing Case Study Introduction

Nursing Process

Nursing Process – Assess

Nursing Process – Diagnose

Nursing Process – Evaluate

Nursing Process – Implement

Nursing Process – Plan

Nursing School Application Essay

NURSING.com Assessment & Skills Checks

NURSING.com Introduction

OLD CARTS Mnemonic (OLD CARTS)

Online vs Brick-and-Mortar

Opposite or the Same – Live Tutoring Archive

Our Goals for Teaching

Outline Question Method (Note taking)

Overview of the Nursing Process

Paying for Nursing School

Personal Growth Resources for Certified Perioperative Nurse (CNOR)

Pharmacokinetics Nursing Mnemonic (ADME)

Plan of Care Updates for Certified Perioperative Nurse (CNOR)

Planning Community Health Interventions Nursing Mnemonic (PRECEDE-PROCEED)

Post-Partum Assessment Nursing Mnemonic (BUBBLE)

Prioritizing Assessments

Purpose of Nursing Care Plans

Questions To Ask Before Applying To A Nursing Program

R – Real-Life

Real-Life Experiences

Repeating Words

Resources for Lesson Creation

Safety Check Nursing Mnemonic (MADLE)

SATA like a BOSS – Live Tutoring Archive

SATA like a BOSS 2 – Live Tutoring Archive

SBAR Communication Nursing Mnemonic (SBAR)

Screencastify Setup

Seizure Causes Nursing Mnemonic (VITAMIN)

Seizure Documentation Nursing Mnemonic (TDOC)

Share the Wealth

Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)

SSRI’s Nursing Mnemonic (Effective For Sadness, Panic, and Compulsions)

Start and End with the Linchpin

Steps in the Nursing Process 1 Nursing Mnemonic (ADPIE)

Steps in the Nursing Process 2 Nursing Mnemonic (AAPIE)

Steps In The Nursing Process 3 Nursing Mnemonic (SOAPIE)

Study Tips for Success

Systems Thinking for Progressive Care Certified Nurse (PCCN)

TEAS® Prep Course Introduction

Tenet 1 Filet Mignon

Tenet 2 Linchpins & Connections

Tenet 3 Why Behind the What

Tenet 4 Learner-Centered Talkabouts

Test Taking Course Introduction

The CARPET Methods of Teaching

The Nurse Routine

The Nursing Process Pro Tips for Test Taking – Live Tutoring Archive

The Outline is the Foundation

Thinking Like a Nurse

Time Management

Time Management

Tracheal Esophageal Fistula – Sign and Symptoms Nursing Mnemonic (The 3 C’s)

Trauma – Complications Nursing Mnemonic (TRAUMATIC)

Trauma Surgery – Medical History Nursing Mnemonic (AMPLE)

Triage Nursing Mnemonic (START)

Trusting your Gut

Two pathways of the peripheral nervous system Nursing Mnemonic (SAME)

Using Nursing Care Plans in Clinicals

Vasospasm Therapy Nursing Mnemonic (Triple H Therapy)

VEAL CHOP Nursing Mnemonic (Fetal Accelerations and Decelerations) (VEAL CHOP)

Vitamins – Fat Soluble Nursing Mnemonic (All Dogs Eat Kibble)

Vitamins – Water Soluble Nursing Mnemonic (Birth Control)

Walkers Nursing Mnemonic (Wandering Wilma Always Late)

Welcome to NURSING.com

Welcome to NURSING.com

What Are the Absolutes

What are the NCLEX Categories? – Live Tutoring Archive

What do you want me to know?

What is Pedagogy

What is the NCLEX?

What Should They Learn

What to Expect In Clinical

Why NURSING.com?

Working night shift

Working with Fractions

Ratios & Proportions

Normal distribution curve

Mathematics Course Introduction

Common Stat tests

Basic Statistics

Basic Operations

Acids & Bases (acid base balance)

Atomic Structure & Periodic Table

Chemical Bonds & Compounds

Chemical Equations

Chemical Reactions

Nuclear Chemistry

Oxidation & Reduction

Properties of Matter

Scientific Notation & Measurement

Anti-Infective – Antifungals

Antimicrobial Vaccinations

Antiparasitic Agents

Antiviral Agents for Treatment

Bacterial Role in Disease

Basics of Microbial Control

Biogeochemical cycles

Biohazard Material Handling and Disposition (Blood, Microbiology, Creutzfeldt-Jakob Disease) for Certified Perioperative Nurse (CNOR)

Cefdinir (Omnicef) Nursing Considerations

Cell Membrane Permeability

Cellular Energy Conversion

CHO, CHO, CHON Nursing Mnemonic (CHO, CHO, CHON)

Disposal of Medical Waste

Fungal Infections

Hazardous Material Handling and Disposition (Chemo, Radioactive) for Certified Perioperative Nurse (CNOR)

Hb (Hepatitis) Vaccine

Healthcare-Acquired Infections: Central-Line-Associated Infections (CLABSI) for Progressive Care Certified Nurse (PCCN)

Human Biology Course Introduction

Infection or Inflammation? The Quick & Dirty on CBCs – Live Tutoring Archive

Infection or Inflammation? The Quick & Dirty on CBCs 2 – Live Tutoring Archive

Infection Stages

Infectious Diseases: Multidrug-Resistant Organisms (MRSA, VRE, CRE, ESBL) for Progressive Care Certified Nurse (PCCN)

Inflammation- Signs and Symptoms Nursing Mnemonic (HIPER)

Intro to Cell Metabolism

Intro to Ions & Molecules

Key Nutrients in the Prevention of Chronic Disease

Lipids, Carbohydrates & Proteins

Macro and Micronutrients

Mechanisms of Antimicrobial Agents

Meiosis & Mitosis

Membranous Organelles

Molecular vs Serological Diagnosis

Multi-Drug Resistant Organisms (MRSA, VRE) for Certified Emergency Nursing (CEN)

Mycotoxins and Mycotoxicosis

Non-Membranous Organelles

Nursing Care Plan (NCP) for Infection

Nursing Care Plan (NCP) for West Nile Virus

Nutrition Course Introduction

Nystatin (Mycostatin) Nursing Considerations

Parasites and Parasite Replication

Protein Synthesis & Nucleic Acids

Tonicity of Solutions – Live Tutoring Archive

Viral Reproduction

Viruses & Fungi

12 Points to Answering Pharmacology Questions

6 Rights of Medication Administration

ACLS (Advanced cardiac life support) Drugs

Adenosine (Adenocard) Nursing Considerations

Amiodarone (Pacerone) Nursing Considerations

Anesthetic Agents

Anti-Infective – Antifungals

Anti-Platelet Aggregate

Antianxiety Meds

Antidepressants

Atenolol (Tenormin) Nursing Considerations

Atropine (Atropen) Nursing Considerations

Bariatric: IV Insertion

Basics of Calculations

Benztropine (Cogentin) Nursing Considerations

Bisacodyl (Dulcolax) Nursing Considerations

Buspirone (Buspar) Nursing Considerations

Carbidopa-Levodopa (Sinemet) Nursing Considerations

Cefdinir (Omnicef) Nursing Considerations

Celecoxib (Celebrex) Nursing Considerations

Codeine (Paveral) Nursing Considerations

Combative: IV Insertion

Complex Calculations (Dosage Calculations/Med Math)

Cyclosporine (Sandimmune) Nursing Considerations

Dark Skin: IV Insertion

Dimensional Analysis Nursing (Dosage Calculations/Med Math)

Diphenoxylate-Atropine (Lomotil) Nursing Considerations

Drawing Blood from the IV

Drawing Up Meds

Drug Interactions Nursing Mnemonic (These Drugs Can Interact)

Eye Prophylaxis for Newborn

Fentanyl (Duragesic) Nursing Considerations

Geriatric: IV Insertion

Giving Medication Through An IV Set Port

Glipizide (Glucotrol) Nursing Considerations

Guaifenesin (Mucinex) Nursing Considerations

Hanging an IV Piggyback

How to Remove (discontinue) an IV

How to Secure an IV (chevron, transparent dressing)

Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations

Hydromorphone (Dilaudid) Nursing Considerations

Injectable Medications

Insulin – Long Acting (Lantus) Nursing Considerations

Insulin – Mixtures (70/30)

Interactive Pharmacology Practice

Interactive Practice Drip Calculations

IV Catheter Selection (gauge, color)

IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)

IV Drip Administration & Safety Checks

IV Drip Therapy – Medications Used for Drips

IV Infusions (Solutions)

IV Insertion Angle

IV Insertion Course Introduction

IV Placement Start To Finish (How to Start an IV)

IV Pump Management

IV Push Medications

Ketorolac (Toradol) Nursing Considerations

Labeling (Medications, Solutions, Containers) for Certified Perioperative Nurse (CNOR)

Lidocaine (Xylocaine) Nursing Considerations

Magnesium Sulfate

Magnesium Sulfate in Pregnancy

Maintenance of the IV

Mannitol (Osmitrol) Nursing Considerations

Medication Errors

Medication Reconciliation Review for Certified Perioperative Nurse (CNOR)

Medications in Ampules

Meds for Postpartum Hemorrhage (PPH)

Meperidine (Demerol) Nursing Considerations

Methadone (Methadose) Nursing Considerations

Methylergonovine (Methergine) Nursing Considerations

Metoclopramide (Reglan) Nursing Considerations

Montelukast (Singulair) Nursing Considerations

Mood Stabilizers

Nalbuphine (Nubain) Nursing Considerations

Neostigmine (Prostigmin) Nursing Considerations

NG Tube Med Administration (Nasogastric)

NG Tube Medication Administration

Nitro Compounds

NRSNG Live | The S.O.C.K Method for Mastering Nursing Pharmacology and Never Forgetting a Medication Again

Nystatin (Mycostatin) Nursing Considerations

OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive

Olanzapine (Zyprexa) Nursing Considerations

Opioid Analgesics in Pregnancy

Oral Medications

Oxycodone (OxyContin) Nursing Considerations

Pain Management for the Older Adult – Live Tutoring Archive

Pain Management Meds – Live Tutoring Archive

Parasympathomimetics (Cholinergics) Nursing Considerations

Patient Controlled Analgesia (PCA)

Pediatric Dosage Calculations

Pentobarbital (Nembutal) Nursing Considerations

Pharmacodynamics

Pharmacokinetics

Pharmacokinetics Nursing Mnemonic (ADME)

Pharmacology Course Introduction

Phenobarbital (Luminal) Nursing Considerations

Phytonadione (Vitamin K) for Newborn

Pill Crushing & Cutting

Procainamide (Pronestyl) Nursing Considerations

Propofol (Diprivan) Nursing Considerations

Quetiapine (Seroquel) Nursing Considerations

Ranitidine (Zantac) Nursing Considerations

Rh Immune Globulin in Pregnancy

Sedatives-Hypnotics

Sedatives-Hypnotics

Selecting THE vein

Spiking & Priming IV Bags

Streptokinase (Streptase) Nursing Considerations

Struggling with Dimensional Analysis? – Live Tutoring Archive

SubQ Injections

Supplies Needed

Tattoos IV Insertion

The SOCK Method – C

The SOCK Method – K

The SOCK Method – O

The SOCK Method – Overview

The SOCK Method – S

The SOCK Method of Pharmacology 1 – Live Tutoring Archive

The SOCK Method of Pharmacology 2 – Live Tutoring Archive

The SOCK Method of Pharmacology 3 – Live Tutoring Archive

Tips & Advice for Newborns (Neonatal IV Insertion)

Tips & Advice for Pediatric IV

Understanding All The IV Set Ports

Using Aseptic Technique

Verapamil (Calan) Nursing Considerations