Assessment Ch. 44 Problems of NS
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Migraine Headache | A chronic, episodic disorder with multiple subtypes.
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| 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)
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| Prostaglandins | Chemicals that cause inflammation and swelling
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| Migraine triggers are: | caffeine, red wine, stress and monosodium glutamate MSG, changes in weather
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| Three categories of migraines: | Migraines with aura, migraines without aura, atypical migraines
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| Atypical migraines are: | less common and include menstrual and cluster migraines.
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| Aura | a sensation such as visual changes that signals the onset of a headache or seizure.
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| Stages of migraine: | Prodrome phase, in which the patient has specific syptoms such as food cravings or mood changes.
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| Stages of migraine: | Aura phase which generally involves visual changes, flashing lights or diplopia (double vision)
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| Stages of migraine: | Headache phase, which may last a few hours to a few days
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| Stages of migraine: | Termination phase, in which the intensity of the headache decreases
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| Stages of migraine: | Postprodrome phase, in which the patient is often fatigued, may be irritable, and has muscle pain
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| Phototopia | Sensitivity to light
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| Phonotopia | Sensitivity to sound
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| Interventions for migraines: | Recognize migraine symptoms
Respond and see the health care provider
Relieve pain and associated symptoms
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| 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
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| Mild migraines may be relieved by: | acetaminophen (tylenol, abenol), NSAIDS (ibuprofen and naxopren), Advil Migraine, Excedrin Migraine (acetaminophen, aspirin, cafffeine)
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| 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
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| 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.
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| Triptan examples: | Zomig (zolmitriptan), and Replax (eletriptan)
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