Exam 1 Med surg Galen Questions with Correct Answers
What mare mthe mthree mmain mtypes mof mheadaches? m- mANS-Migraine, mTension, mCluster
Steps mto mPain mAssessment m- mANS-Provoking
Quality
Radiation
Severity m
Time
Provoking m- mANS-has manything mmade mit mbetter mor mworse
Quality m- mANS-Sharp, mdull, machy, mthrobbing
Radiation m- mANS-Does mit mradiate mto manother mpart mof mthe mbody
Severity m- mANS-Pain mscale, m1-10 mscale, mintense mpain, mOther msymptoms: mN/V,
mphotophobia
Time m- mANS-how mlong mhas mit mbeen mgoing mon? mhow mlong mdoes mit musually mlast?
Tension mHeadache m- mANS-Bandlike, mtightness
,Describe ma mMigraine m- mANS-Unilateral, msupra mand mretro morbital, mpulsating mor
mthrobbing, mworse mwith mmovement, msensitivity mwith mlight mand msounds
Cluster m- mANS-Lancinationg mor mstabbing, m5-30 mminutes. mExtreme mpain
Migraine mPathophysiology m- mANS-Pathophysiology m- mNot mentirely mclear.; mtheories?
Prevalence: mMay mbe mseen min mchildren mand madults; mAmong mchildren mmore mcommon
min mboys; mamong madults mmore mcommon min mwomen. m
mHistory mof mpatient mwith mmigraine: mOtherwise mhealthy, musually mfemale min m30's
Individualized mtriggers m(stress, msmells, mfoods, mhormones, mmenses)
Tyramine mrich mfoods- mchocolate, mcheeses, mbeer, mwine, mcigar, msweet mand mlow.
Treatment mfor mMigraine m- mANS-Vasoconstriction mworks mthe mbest, mirritation mof mthe
m5th mcranial mnerve, mEstrogen mhormone mcan mcauses mmigraines.
Migraine mManifestations m- mANS-Manifestations
Pain: mUsually munilateral, msupra/retro-orbital, mpulsating. mWorse mwith mmovement. m
Accompanied mby mnon-h/a msymptoms: mN/V, mphotophobia, mphonophobia, m
Aura: m(20% mof mcases):
Migraine mInterventions m- mANS-Pain mmanagement
Symptom mmanagement m
,Ex. mPitch mblack, mturn moff mall mthe mlights, mN/V mcauses mdehydration
Migraine mDrug mTherapy m- mANS-APAP/Caffeine/ mButabital m(Fioricet)
NSAIDS m: mNaprosyn
CCBs mand mBeta- mBlockers m(Preventative mtherapy) m: mVerapamil
Triptans mand mergotamine's: mSumatriptan mand mCafergot
Anticonvulsants m(Preventative mtherapy): mTopiramate
Botox mInjections m(monthly) m
Magnesium
Migraine mComplementary mand malternative mtherapies m- mANS-Acupuncture, mYoga,
mStress mreduction mactivities, mSupplemental mmag, mDistraction msometimes mworks.
Pound macronym m- mANS-P:Pulsating
O:Duration m
U: mUnilateral mlocation
N: mN/V
D: mDisabling
Epilepsy m- mANS-Chronic mdisorder mwith mtwo mor mmore mseizures mexperienced mby mthe
mclient.
, Epilepsy mAssessment m- mANS-Inquire mabout mthe mseizure mactivity, mfrequency,
mprecipitating mfactors, maura m(pre-ictal mphase). m
Family mhistory
Collateral mmedical mconditions m(hx mstroke, mHTN, mTBI, mdrug/alcohol mabuse)
Seizure mrisk mfactors m- mANS-V: mVascular m
I: mInfection mor mInherited mconditions
T: mTrauma
A: mAlzheimers/Autoimmune
M: mMetabolic mderangements
I: mIdiopathic
N: mNeoplasm
S: mpSychiatric
Epilepsy mTriggers m- mANS-Sleep mdeprivation
Stress
Alcohol/ mAlcohol mWithdrawl
MSG m
pg m878 mChart m42-9
Aura m- mANS-Seizures moften mpreceded mby man maura; mit mis munique mto mthat mpatient,
mnot mevery mpatient mhas mthem.
Somatic: mrising mepigastric msensation
What mare mthe mthree mmain mtypes mof mheadaches? m- mANS-Migraine, mTension, mCluster
Steps mto mPain mAssessment m- mANS-Provoking
Quality
Radiation
Severity m
Time
Provoking m- mANS-has manything mmade mit mbetter mor mworse
Quality m- mANS-Sharp, mdull, machy, mthrobbing
Radiation m- mANS-Does mit mradiate mto manother mpart mof mthe mbody
Severity m- mANS-Pain mscale, m1-10 mscale, mintense mpain, mOther msymptoms: mN/V,
mphotophobia
Time m- mANS-how mlong mhas mit mbeen mgoing mon? mhow mlong mdoes mit musually mlast?
Tension mHeadache m- mANS-Bandlike, mtightness
,Describe ma mMigraine m- mANS-Unilateral, msupra mand mretro morbital, mpulsating mor
mthrobbing, mworse mwith mmovement, msensitivity mwith mlight mand msounds
Cluster m- mANS-Lancinationg mor mstabbing, m5-30 mminutes. mExtreme mpain
Migraine mPathophysiology m- mANS-Pathophysiology m- mNot mentirely mclear.; mtheories?
Prevalence: mMay mbe mseen min mchildren mand madults; mAmong mchildren mmore mcommon
min mboys; mamong madults mmore mcommon min mwomen. m
mHistory mof mpatient mwith mmigraine: mOtherwise mhealthy, musually mfemale min m30's
Individualized mtriggers m(stress, msmells, mfoods, mhormones, mmenses)
Tyramine mrich mfoods- mchocolate, mcheeses, mbeer, mwine, mcigar, msweet mand mlow.
Treatment mfor mMigraine m- mANS-Vasoconstriction mworks mthe mbest, mirritation mof mthe
m5th mcranial mnerve, mEstrogen mhormone mcan mcauses mmigraines.
Migraine mManifestations m- mANS-Manifestations
Pain: mUsually munilateral, msupra/retro-orbital, mpulsating. mWorse mwith mmovement. m
Accompanied mby mnon-h/a msymptoms: mN/V, mphotophobia, mphonophobia, m
Aura: m(20% mof mcases):
Migraine mInterventions m- mANS-Pain mmanagement
Symptom mmanagement m
,Ex. mPitch mblack, mturn moff mall mthe mlights, mN/V mcauses mdehydration
Migraine mDrug mTherapy m- mANS-APAP/Caffeine/ mButabital m(Fioricet)
NSAIDS m: mNaprosyn
CCBs mand mBeta- mBlockers m(Preventative mtherapy) m: mVerapamil
Triptans mand mergotamine's: mSumatriptan mand mCafergot
Anticonvulsants m(Preventative mtherapy): mTopiramate
Botox mInjections m(monthly) m
Magnesium
Migraine mComplementary mand malternative mtherapies m- mANS-Acupuncture, mYoga,
mStress mreduction mactivities, mSupplemental mmag, mDistraction msometimes mworks.
Pound macronym m- mANS-P:Pulsating
O:Duration m
U: mUnilateral mlocation
N: mN/V
D: mDisabling
Epilepsy m- mANS-Chronic mdisorder mwith mtwo mor mmore mseizures mexperienced mby mthe
mclient.
, Epilepsy mAssessment m- mANS-Inquire mabout mthe mseizure mactivity, mfrequency,
mprecipitating mfactors, maura m(pre-ictal mphase). m
Family mhistory
Collateral mmedical mconditions m(hx mstroke, mHTN, mTBI, mdrug/alcohol mabuse)
Seizure mrisk mfactors m- mANS-V: mVascular m
I: mInfection mor mInherited mconditions
T: mTrauma
A: mAlzheimers/Autoimmune
M: mMetabolic mderangements
I: mIdiopathic
N: mNeoplasm
S: mpSychiatric
Epilepsy mTriggers m- mANS-Sleep mdeprivation
Stress
Alcohol/ mAlcohol mWithdrawl
MSG m
pg m878 mChart m42-9
Aura m- mANS-Seizures moften mpreceded mby man maura; mit mis munique mto mthat mpatient,
mnot mevery mpatient mhas mthem.
Somatic: mrising mepigastric msensation
