A big mess!!!

Specialties Psychiatric

Published

I just recently graduated from nursing school and went immediately into psych nursing because it is my passion, but something happened today and I'm so upset.

I was told that when giving Ativan to small children to just go ahead and give Cogentin with it to alleviate any potential EPS symptoms!! I have been doing that since day one. Well tonight the Dr. informs me that Ativan doesn't cause EPS...what gives...have I been giving out the wrong medication for the past 3 months...does Ativan cause EPS, and do you guys ever give Cogentin with it????? I am confused. I looked online, but nothing...some help would totally be appreciated..

Specializes in Med-Surg, Geriatric, Behavioral Health.
I would check with pharmacy from now on if there's something you're not sure of with a med. It seems like your co-workers have a case of "that's how we've done it for years" rather than sound rationale for why they do the things they do. Cover your butt![/quote']

Yes....I totally agree.

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Specializes in Psych/Detox.

I haven't seen EPS as a side effect from benzos i.e. ativan. Usually we give Ativan and haldol together and it is the haldol that can cause EPS. Unless it is a large dose of haldol, don't routinely give Cogentin with it. But do have a prn order for the Cogentin in case sx appear.

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We had a great pharmacology book. It was Govoni and Hayes. I think it was "Drugs and Nursing Implications". Or you can get tons of drug information, including side effects, on the internet.

Generally, I see Cogentin given with Haldol and then only PRN for most clients.

I don't think you messed up and I'm glad you are questioning and wanting to learn more.

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Specializes in Behavioral Health, Show Biz.
I would check with pharmacy from now on if there's something you're not sure of with a med. It seems like your co-workers have a case of "that's how we've done it for years" rather than sound rationale for why they do the things they do. Cover your butt![/quote']

YOU GOT THAT RIGHT!

Use your PDR or whatever reference you need. Don't go by past practice. Your license is depending on it!:innerconf

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