Unit 2: Nursing care of clients with neurosensory disorders
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
---|---|---|---|---|---|
Headaches (Pg. 113) | Acute, chronic, temporary, life threatening
-Primary (no cause, i.e. migraines, cluster)
-Secondary (from organic cause; i.e. brain tumor)
🗑
|
||||
Risk factors for migraines or cluster headaches: | Alcohol, env't allergies
Intense odors, bright lights, meds
Fatigue, sleep deprivation, depression, emotional/physical stress, anxiety
Menstrual cycles/OC use
Foods with tyramine, MSG, nitrites, milk
🗑
|
||||
Migraine headaches (Pg. 113) -S/s | Photophobia & phonophobia (sensitive to sounds)
Nausea/vomit
Stress/anxiety
Unilateral pain, often behind the ear/eye
-health & fan hx
🗑
|
||||
Classifying migraines: | Categories & stages
-With aura
-Without aura
-Atypical
🗑
|
||||
Migraine w/ aura: -Stages | Prodromal stage, aura stage, second stage, third stage
🗑
|
||||
What is the prodromal stage of an aura? (Pg. 114) | Awareness of findings for hours to days before onset: irritability, depression, food cravings, diarrhea/constipation, frequent urination
🗑
|
||||
What is the aura stage? | Develops over minutes to an hour
-neuro findings* numb,tingles of mouth, lips, face, hands
-visual disturbances; light flashes/bright spots
🗑
|
||||
Second stage? | Severe, incapacitating, throbbing headache over several hours
-nausea/vomit/drowsiness/vertigo
🗑
|
||||
Third stage? | (4-72 hours), headache is dull
🗑
|
||||
Migraine w/o aura: How is pain aggravated? Uni or bilateral? common symptoms? how long? | Physical activity aggravates pain
Unilateral, pulsating
Photo/phono phobia, nausea/vomit (one or more)
4-72 hours long, AM, PMS, stress, dehydration
🗑
|
||||
Atypical migraine: | >72 hrs
Neuro symptoms longer than 7 days
Ischemic infarct may be seen on neuro imaging
🗑
|
||||
Nursing care for migraines: (Pg. 114) env't, hob, meds | Cool, dark, quiet env't
HOB ^ 30
Meds
🗑
|
||||
Meds for mild migraines: | NSAIDs (ibuprofen, naproxen), acetaminophen (tylenol), OTC advil migraine capsules
🗑
|
||||
Metoclopramide (Reglan) | Antiemetics for nausea/vomit
🗑
|
||||
Meds for severe migraines: Triptan preparations | Produce a vasoconstrictive effect (Pg. 115)
🗑
|
||||
Severe migraine meds: Ergotamine preparations | W/ caffeine (cafergot)
-Narrow BVs & reduce inflammation
🗑
|
||||
Preventive therapies for headaches: | NSAIDs w/ beta blocker, CCB, beta-adrenergic blocker or AED
-check pulse
🗑
|
||||
What are the three R's? | Recognize symptoms
Respond & seek provider
Relieve pain & symptoms
🗑
|
||||
Foods w tyramine that can be triggers: | Pickles, caffeine, beer, beer/wine, aged cheese, artificial sweeteners, nuts
🗑
|
||||
Meds that can induce migraines: | Ranitidine, estrogen, nitroglycerin, nifedipine
🗑
|
||||
Cluster headaches: (Pg. 116) | Brief episode of intense, unilateral, non throbbing pain lasting 30 min to 2 hr
-Can radiate to the forehead, temple, cheek
🗑
|
||||
When do they occur? | Daily at about the same time for 4-12 weeks
Followed by a period of remission for up to 9-12 months
-No warning signs
-less common than migraines
🗑
|
||||
What seasons are cluster more frequent in? | Spring & fall
🗑
|
||||
S/s: gender, age, eyes/nose, eyes, color, walking | Men
20-50 yrs
Tearing eyes w runny nose/congestion
Facial sweating
drooping eyelid & eyelid edema
Miosis
Facial pallor
Nausea/vomit
Pacing, walking, sitting, rocking activities
🗑
|
||||
Meds (Pg. 116) | See meds for migraines
🗑
|
||||
What may be helpful at the onset of the headache? | Home oxygen therapy 7-10 l/min for 15-30 min
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
mary.scott260!
Popular Nursing sets