Benztropine Flashcards

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Questions and Answers

What is the trade name for Benztropine?

  • Adderall
  • Lexapro
  • Cogentin (correct)
  • Zoloft

What classification does Benztropine belong to?

Anticholinergic, Antiparkinson

What is the FDA category for Benztropine?

C

What is the therapeutic use of Benztropine?

<p>Improves ability to perform ADLs</p> Signup and view all the answers

What is the mechanism of action of Benztropine?

<p>Blocks muscarinic receptors in the striatum, improving the functional imbalance between dopamine and ACh</p> Signup and view all the answers

The initial dose of Benztropine is _____ mg PO at bedtime.

<p>0.5 - 1</p> Signup and view all the answers

What are common side effects of Benztropine? (Select all that apply)

<p>Blurred vision (B), Urinary retention (C), Dry mouth (D)</p> Signup and view all the answers

What substances are known to interact with Benztropine?

<p>Alcohol, Anticholinergics, TCAs</p> Signup and view all the answers

What should be assessed before administering Benztropine?

<p>Motor symptoms that interfere with ADLs</p> Signup and view all the answers

What nursing consideration is important when administering Benztropine?

<p>Orthostatic hypotension</p> Signup and view all the answers

Patients should avoid _____ protein meals when taking Benztropine.

<p>high</p> Signup and view all the answers

What routes can Benztropine be administered?

<p>All of the above (D)</p> Signup and view all the answers

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Study Notes

Benztropine Overview

  • Generic name: Benztropine; Trade name: Cogentin
  • Classification: Anticholinergic and Antiparkinson medication
  • FDA Category: C (risk cannot be ruled out)

Therapeutic Uses

  • Increases patients' ability to perform Activities of Daily Living (ADLs)

Mechanism of Action

  • Blocks muscarinic receptors in the striatum
  • Helps rectify the imbalance between dopamine and acetylcholine (ACh)

Dosage and Administration

  • Initial dose: 0.5 - 1 mg orally at bedtime
  • Maintenance dose: 0.5 - 6 mg at bedtime or divided into two to four doses
  • Can be administered intravenously (IV) or intramuscularly (IM) at the same dosage

Side Effects

  • Common side effects include blurred vision, constipation, decreased sweating, dry mouth, and urinary retention

Drug Interactions

  • Significant interactions with alcohol, other anticholinergics, and tricyclic antidepressants (TCAs)

Pre-Administration Assessment

  • Evaluate motor symptoms that disrupt ADLs
  • Use cautiously in elderly patients, particularly those with psychiatric conditions

Nursing Considerations

  • Monitor for orthostatic hypotension, a potential side effect

Patient Education

  • Advise patients to avoid high protein meals; take medication with meals to prevent nausea/vomiting
  • Instruct to discontinue use if dry mouth severely affects talking or swallowing
  • Caution to avoid hot weather and certain over-the-counter drugs that may exacerbate CNS effects
  • Recommend emptying the bladder prior to dosing if urinary retention is an issue

Routes of Administration

  • Available for oral, IV, and IM delivery

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