Nurs 5433 Module 5 Neuro Latest
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,What is the criteria for Episodic Migraines - correct ans:A. 5 attacks fulfilling B-D
B. HA lasts 4-72 hours if untreated
C. Has 2/4 of the following: unilateral, pulsating, moderate-severe, aggravated by activity
D. At least 1 of the following: N/V, photophobia or phonophobia
E. Not better accounted by another disease/diagnosis
What is the criteria for chronic migraines? - correct ans:A. Migraine-like or tension-like headaches on 15
or more days a month for more than 3 months
B. at least 5 attacks fulfilling criteria that meet criteria for migraine with or without aura
C. on 8 or more days a month for 3 months: criteria C and D are met for migraine without aura, and
criteria B and C are met for migraine with aura, the symptoms are relieved by a triptan or ergot
What are some common migraine triggers? - correct ans:alcohol, exercise, caffeine, menses, OCPs,
stress, weather changes, smoke, chocolate, light
When should you offer preventative treatment for migraines? - correct ans:6 or more headache days
with no disability
4 or more headache days with some disability
3 or more headache days with severe disability
When should you consider preventative treatment for migraines? - correct ans:4 or 5 headache days
with no disability
3 headache days with some disability
2 headache days with moderate disability
How long does it take to get benefit from preventive therapies for migraines? - correct ans:can take 2-6
months.
How do you taper preventive medications for migraine? - correct ans:start low and go slow. Titrate ever
2-4 weeks until effective.
, When should you consider switching preventive migraine medications? - correct ans:if patient cannot
tolerate AE, or patient has been on medication for 8 weeks or they are on max dose without relief....
try a second first line medication in conjunction, and if they is unsuccessful, consider second line therapy
like amitriptyline, venlafaxine, atenolol, feverfew or riboflavin
What are first line preventive treatments for migraines? - correct ans:"BAT"
Beta blockers (TMP... timolol, propranolol, metoprolol)
Anticonvulsants (divalproex, topiramate)
Triptans (Frovatriptan)... only for menstural migraines
What are the AE of divalproex? - correct ans:alopecia, liver failure, pancreatitis, thrombocytopenia,
weight gain, teratogenesis
will decrease efficacy of OCPs!
What monitoring needs to be done on a patient on divalproex? - correct ans:CBC, LFTs, amylase and
lipase if you suspect pancreatitis
What are some AE of topiramate? - correct ans:paresthesia, weight loss, difficulty with memory and
concentration, angle closure glaucoma, hepatic toxicity, metabolic acidosis
What monitoring needs to be done on a patient prescribed topiramate? - correct ans:CBC and CMP
Which beta blockers can be safely given to COPD/Asthma patients? - correct ans:ABEAM
Atenolol
Betaxolol
Verified And Frequently tested exam
With Expected real Questions With
Well Elaborated Correct Answers
GRADED A+
Professional Academic Assistance Services
Services Offered
Proctored Exam Assistance
Online Class Management (Full Course Support)
Exam Preparation & Study Materials
Assignments and Coursework Support
Essays and Research Papers
Discussion Posts and Replies
,What is the criteria for Episodic Migraines - correct ans:A. 5 attacks fulfilling B-D
B. HA lasts 4-72 hours if untreated
C. Has 2/4 of the following: unilateral, pulsating, moderate-severe, aggravated by activity
D. At least 1 of the following: N/V, photophobia or phonophobia
E. Not better accounted by another disease/diagnosis
What is the criteria for chronic migraines? - correct ans:A. Migraine-like or tension-like headaches on 15
or more days a month for more than 3 months
B. at least 5 attacks fulfilling criteria that meet criteria for migraine with or without aura
C. on 8 or more days a month for 3 months: criteria C and D are met for migraine without aura, and
criteria B and C are met for migraine with aura, the symptoms are relieved by a triptan or ergot
What are some common migraine triggers? - correct ans:alcohol, exercise, caffeine, menses, OCPs,
stress, weather changes, smoke, chocolate, light
When should you offer preventative treatment for migraines? - correct ans:6 or more headache days
with no disability
4 or more headache days with some disability
3 or more headache days with severe disability
When should you consider preventative treatment for migraines? - correct ans:4 or 5 headache days
with no disability
3 headache days with some disability
2 headache days with moderate disability
How long does it take to get benefit from preventive therapies for migraines? - correct ans:can take 2-6
months.
How do you taper preventive medications for migraine? - correct ans:start low and go slow. Titrate ever
2-4 weeks until effective.
, When should you consider switching preventive migraine medications? - correct ans:if patient cannot
tolerate AE, or patient has been on medication for 8 weeks or they are on max dose without relief....
try a second first line medication in conjunction, and if they is unsuccessful, consider second line therapy
like amitriptyline, venlafaxine, atenolol, feverfew or riboflavin
What are first line preventive treatments for migraines? - correct ans:"BAT"
Beta blockers (TMP... timolol, propranolol, metoprolol)
Anticonvulsants (divalproex, topiramate)
Triptans (Frovatriptan)... only for menstural migraines
What are the AE of divalproex? - correct ans:alopecia, liver failure, pancreatitis, thrombocytopenia,
weight gain, teratogenesis
will decrease efficacy of OCPs!
What monitoring needs to be done on a patient on divalproex? - correct ans:CBC, LFTs, amylase and
lipase if you suspect pancreatitis
What are some AE of topiramate? - correct ans:paresthesia, weight loss, difficulty with memory and
concentration, angle closure glaucoma, hepatic toxicity, metabolic acidosis
What monitoring needs to be done on a patient prescribed topiramate? - correct ans:CBC and CMP
Which beta blockers can be safely given to COPD/Asthma patients? - correct ans:ABEAM
Atenolol
Betaxolol
