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What is the classification of EXELON/rivastigmine?
What is the classification of EXELON/rivastigmine?
- Anti-depressant
- Anticoagulant
- Anti-Alzheimer's (correct)
- Antipsychotic
What is the expected pharmacological action for EXELON/rivastigmine?
What is the expected pharmacological action for EXELON/rivastigmine?
Decreases dementia symptoms temporarily; increases cognitive ability.
What are the contradictions of EXELON/rivastigmine?
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?
What are the complications associated with EXELON/rivastigmine?
What precautions should be taken when using EXELON/rivastigmine?
What precautions should be taken when using EXELON/rivastigmine?
What are the interactions for EXELON/rivastigmine?
What are the interactions for EXELON/rivastigmine?
How can EXELON/rivastigmine be administered?
How can EXELON/rivastigmine be administered?
What nursing interventions are recommended for EXELON/rivastigmine?
What nursing interventions are recommended for EXELON/rivastigmine?
What client education should be provided for EXELON/rivastigmine?
What client education should be provided for EXELON/rivastigmine?
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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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