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Nervous System Prob
Assessment Ch. 44 Problems of NS
Term | Definition |
---|---|
Migraine Headache | A chronic, episodic disorder with multiple subtypes. |
Characteristics of Migraine Headache | Intense pain in one side of the head worsening with movement and occurs with either photophobia (sensitive to light) or phonophobia (sensitive to noise) |
Prostaglandins | Chemicals that cause inflammation and swelling |
Migraine triggers are: | caffeine, red wine, stress and monosodium glutamate MSG, changes in weather |
Three categories of migraines: | Migraines with aura, migraines without aura, atypical migraines |
Atypical migraines are: | less common and include menstrual and cluster migraines. |
Aura | a sensation such as visual changes that signals the onset of a headache or seizure. |
Stages of migraine: | Prodrome phase, in which the patient has specific syptoms such as food cravings or mood changes. |
Stages of migraine: | Aura phase which generally involves visual changes, flashing lights or diplopia (double vision) |
Stages of migraine: | Headache phase, which may last a few hours to a few days |
Stages of migraine: | Termination phase, in which the intensity of the headache decreases |
Stages of migraine: | Postprodrome phase, in which the patient is often fatigued, may be irritable, and has muscle pain |
Phototopia | Sensitivity to light |
Phonotopia | Sensitivity to sound |
Interventions for migraines: | Recognize migraine symptoms Respond and see the health care provider Relieve pain and associated symptoms |
Abortive Therapy | Aimed at alleviating pain during the aura phase or soon after the headache has started. Drug therapy is prescribed to manage migraine headaches |
Mild migraines may be relieved by: | acetaminophen (tylenol, abenol), NSAIDS (ibuprofen and naxopren), Advil Migraine, Excedrin Migraine (acetaminophen, aspirin, cafffeine) |
Teach patients who take beta-adrenergic blockers and calcium channel blockers how to | take their pulse. Encourage them to report bradycardia, fatigue, and shortness of breath to their health care provider as soon as possible |
Triptan | relieves the headache by activating 5-HT (serotonin) receptors on the cranial arteries, the basilar arterty), and the blood vessels of the dura mater to produce a vasoconstrictive effect. |
Triptan examples: | Zomig (zolmitriptan), and Replax (eletriptan) |