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.

Question

Quizplus · Accepted Answer

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.

A Patient Who Takes Haloperidol (Haldol) for a Diagnosis of Schizophrenia