EXELON/Rivastigmine Flashcards
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Questions and Answers

What is the classification of EXELON/rivastigmine?

  • Anti-depressant
  • Anticoagulant
  • Anti-Alzheimer's (correct)
  • Antipsychotic
  • What is the expected pharmacological action for EXELON/rivastigmine?

    Decreases dementia symptoms temporarily; increases cognitive ability.

    What are the contradictions of EXELON/rivastigmine?

    Hypersensitivity to rivastigmine; history of application site reaction with transdermal medications.

    What are the complications associated with EXELON/rivastigmine?

    <p>Vomiting, weakness, dizziness, drowsiness, edema, fever, hypotension, anorexia, tremor.</p> Signup and view all the answers

    What precautions should be taken when using EXELON/rivastigmine?

    <p>History of asthma and COPD, history of GI bleeding, supraventricular cardiac conduction abnormalities, moderate to severe renal impairment, OB and pediatric considerations.</p> Signup and view all the answers

    What are the interactions for EXELON/rivastigmine?

    <p>Nicotine may increase metabolism and decrease medication levels.</p> Signup and view all the answers

    How can EXELON/rivastigmine be administered?

    <p>PO or transdermal</p> Signup and view all the answers

    What nursing interventions are recommended for EXELON/rivastigmine?

    <p>Assess for cognitive function, memory, attention, reasoning, language, and daily activities. Monitor for nausea, vomiting, anorexia, and skin reactions (oral and transdermal).</p> Signup and view all the answers

    What client education should be provided for EXELON/rivastigmine?

    <p>Take as directed, may cause dizziness so use caution when driving, notify the doctor of nausea, vomiting, anorexia, and weight decrease, rotate patch sites, and may take several weeks to see changes.</p> Signup and view all the answers

    Study Notes

    EXELON / Rivastigmine Overview

    • EXELON is classified as an anti-Alzheimer's medication.
    • Primarily indicated for the management of dementia symptoms.

    Pharmacological Action

    • Temporarily reduces symptoms of dementia.
    • Enhances cognitive abilities for patients with Alzheimer's disease.

    Contraindications

    • Not suitable for individuals with hypersensitivity to rivastigmine.
    • History of reactions to transdermal medications can lead to complications.

    Complications

    • Potential side effects include vomiting, weakness, dizziness, drowsiness, edema, fever, hypotension, anorexia, and tremors.

    Precautions

    • Caution is advised for patients with:
      • A history of asthma or COPD.
      • Gastrointestinal bleeding issues.
      • Supraventricular cardiac conduction abnormalities.
      • Moderate to severe renal impairment.
      • Special considerations for obstetric and pediatric populations.

    Drug Interactions

    • Nicotine can elevate the metabolism of rivastigmine, potentially lowering medication efficacy.

    Medication Administration

    • Administered via oral (PO) or transdermal routes.

    Nursing Interventions

    • Monitor cognitive functions including memory, attention, reasoning, and language.
    • Assess daily activities and observe for nausea, vomiting, and anorexia.
    • Check for skin reactions from oral and transdermal applications.

    Client Education

    • Follow prescribed dosage instructions carefully.
    • Caution advised due to potential dizziness; driving may be hazardous.
    • Report any significant side effects such as nausea, vomiting, anorexia, or weight loss.
    • Rotate patch sites if using transdermal method.
    • It may take several weeks to observe improvements in symptoms.

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    Test your knowledge on EXELON (rivastigmine) with these flashcards. Covering its classification, pharmacological actions, contraindications, and potential complications, this quiz will help reinforce your understanding of this Alzheimer's medication. Perfect for students and professionals alike!

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