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Nervous System Prob

Assessment Ch. 44 Problems of NS

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)
Created by: danatan79