University:
College
Course:
College Medicine
Academic year:

2022
Views:

135

Pages:

1
Author:

Yasmine Burch

Aricept cholinergic PURPOSE OF MEDICATION Expected Pharmacological Action Inhibitors acetycholinesterase thus improving function by making more acetylcholine available Therapeutic Use May temporarily lessen some of the dementia associated with Alzheimer's disease Enhanced cognition Does not cure the disease Complications CNS: Headache, abnormal dreams, depression, dizziness, syncope, fatigue, drowsiness GI: Diarrhea, nausea, anorexia, vomiting, weight gain Metabolic: hot flashes, weight loss CV: atrial fibrillation, hypertension, hypotension, vasodilation Medication Administration PO Contraindications/Precautions Hypersensitivity to donepezil or piperidine derivatives P/C: Underlying cardiac disease, history ulcer disease, history seizures, history of asthma Interactions Exaggerates muscle relaxation from succinylcholine Interferes with the action of anticholinergics Ups cholinergic effects of bethanechol May up risk of GI bleeding from NSAIDs Nursing Interventions Monitor heart rate periodically. May cause bradycardia Assess cognitive function (memory, attention, reasoning, language, ability to perform simple tasks) periodically Client Education Evaluation of Medication Effectiveness Improvement in cognitive function (memory, attention, reasoning, language, ability to perform simple tasks) in patients with Alzheimer's disease May take weeks before improvement May cause dizziness Notify healthcare provider if nausea, vomiting, diarrhea, before treatment, or surgery