Choose a medication type from the following list, note why the medication is use
ID: 243260 • Letter: C
Question
Choose a medication type from the following list, note why the medication is used, and consider adverse effects. Invent a scenario where giving this medication could result in an ethical or legally charged situation. Try not to choose a category that has been well addressed by your peers.
Bethanaechol / cholinergics: Consider risks of inducing urgency or bradycardia in a clients with dementia issues
Benztropine /anticholinergics: Consider harms that can occur with comorbidities like glaucoma or BPH
Albuterol /adrenergics: Consider harms that can occur is asthmatic children are in charge of their own inhalers
Atenolol/ beta blockers: Consider harms that could occur if heart rate was low or patient was asthmatic
Lorazepam /benzodiazepines: Consider vulnerability issues related to sedation and induction of memory loss
Oxycodone / opiates: Consider addiction, drug seeking and patient vulnerability in impaired nurses
Amitriptylline /tricyclics: Consider vulnerability issues with risk of suicidal overdose given anticholinergic effects
Phenelzine /MAOIs: Consider consequences of nonadherence to dietary restrictions on these medications
Haloperidol / neuroleptics: Consider risks of chemical sedation, especially long term risks
Lithium: Consider risks of mismanagement by clients whose behaviors are unpredictable
Phenytoin / antiepileptics: Consider risks of Class D in young women vs risks of going without anti-epileptics
Secobarbital / barbituates: Consider risks related to availability of barbituates to teens via the internet
Kava or Valerian: Consider risks of availability of compounding poorly controlled over the counter sedatives
Sumatriptan / triptans: Consider risks of cerebral ischemia when giving vasoconstrictors for migraine control
Cyclobenzaprine for back spasms: Consider risks of impaired function when nurses take muscle relaxants
Prednisone / steroids: Consider long term effects, when other immune suppressors are too expensive to access.
Aspirin / NSAIDs: Consider vulnerability of elders due to over the counter, affordable nature of this analgesic
Explanation / Answer
Benztropine is an anticholinergic which is used in the treatment of Parkinson's disease, parKinsonism and dystonia as it opposes the action of the neurotransmitter acetylcholine.
Adverse effects : dry mouth, blurred vision, cognition changes,constipation, urinary retention, tachycardia, anorexia, severe delirium and hallucination
Benztropine when given to glaucoma patient will cause mydriasis and may exacerbate this condition.
A patient was brought to ED who has suddenly collapse on the pavement vitals signs show a heart rate of 38beats per minute, respiratory rate of 22 breaths per minute, blood pressure of 128/72mm of He as the patient was about experience cardiac arrest the ED doctor adviced the nurse to give inj. Benztropine 0.5mg stat. Once patient was in a stable condition when history was collected.. Patient is a case of BPH and it is harmful for the patient. Hence it can lead to ethical and legal issues