Med surg Galen exam 1 with answers
What |are |the |three |main |types |of |headaches? |- |correct |answer |-Migraine, |Tension, |Cluster
Steps |to |Pain |Assessment |- |correct |answer |-Provoking
Quality
Radiation
Severity |
Time
Provoking |- |correct |answer |-has |anything |made |it |better |or |worse
Quality |- |correct |answer |-Sharp, |dull, |achy, |throbbing
Radiation |- |correct |answer |-Does |it |radiate |to |another |part |of |the |body
Severity |- |correct |answer |-Pain |scale, |1-10 |scale, |intense |pain, |Other |symptoms: |N/V, |photophobia
Time |- |correct |answer |-how |long |has |it |been |going |on? |how |long |does |it |usually |last?
Tension |Headache |- |correct |answer |-Bandlike, |tightness
Describe |a |Migraine |- |correct |answer |-Unilateral, |supra |and |retro |orbital, |pulsating |or |throbbing, |
worse |with |movement, |sensitivity |with |light |and |sounds
Cluster |- |correct |answer |-Lancinationg |or |stabbing, |5-30 |minutes. |Extreme |pain
Migraine |Pathophysiology |- |correct |answer |-Pathophysiology |- |Not |entirely |clear.; |theories?
,Prevalence: |May |be |seen |in |children |and |adults; |Among |children |more |common |in |boys; |among |
adults |more |common |in |women. |
History |of |patient |with |migraine: |Otherwise |healthy, |usually |female |in |30's
|
Individualized |triggers |(stress, |smells, |foods, |hormones, |menses)
Tyramine |rich |foods- |chocolate, |cheeses, |beer, |wine, |cigar, |sweet |and |low.
Treatment |for |Migraine |- |correct |answer |-Vasoconstriction |works |the |best, |irritation |of |the |5th |
cranial |nerve, |Estrogen |hormone |can |causes |migraines.
Migraine |Manifestations |- |correct |answer |-Manifestations
Pain: |Usually |unilateral, |supra/retro-orbital, |pulsating. |Worse |with |movement. |
Accompanied |by |non-h/a |symptoms: |N/V, |photophobia, |phonophobia, |
Aura: |(20% |of |cases):
Migraine |Interventions |- |correct |answer |-Pain |management
Symptom |management |
Ex. |Pitch |black, |turn |off |all |the |lights, |N/V |causes |dehydration
Migraine |Drug |Therapy |- |correct |answer |-APAP/Caffeine/ |Butabital |(Fioricet)
NSAIDS |: |Naprosyn
CCBs |and |Beta- |Blockers |(Preventative |therapy) |: |Verapamil
Triptans |and |ergotamine's: |Sumatriptan |and |Cafergot
Anticonvulsants |(Preventative |therapy): |Topiramate
Botox |Injections |(monthly) |
Magnesium
Migraine |Complementary |and |alternative |therapies |- |correct |answer |-Acupuncture, |Yoga, |Stress |
reduction |activities, |Supplemental |mag, |Distraction |sometimes |works.
Pound |acronym |- |correct |answer |-P:Pulsating
,O:Duration |
U: |Unilateral |location
N: |N/V
D: |Disabling
Epilepsy |- |correct |answer |-Chronic |disorder |with |two |or |more |seizures |experienced |by |the |client.
Epilepsy |Assessment |- |correct |answer |-Inquire |about |the |seizure |activity, |frequency, |precipitating |
factors, |aura |(pre-ictal |phase). |
Family |history
Collateral |medical |conditions |(hx |stroke, |HTN, |TBI, |drug/alcohol |abuse)
Seizure |risk |factors |- |correct |answer |-V: |Vascular |
I: |Infection |or |Inherited |conditions
T: |Trauma
A: |Alzheimers/Autoimmune
M: |Metabolic |derangements
I: |Idiopathic
N: |Neoplasm
S: |pSychiatric
Epilepsy |Triggers |- |correct |answer |-Sleep |deprivation
Stress
Alcohol/ |Alcohol |Withdrawl
MSG |
pg |878 |Chart |42-9
Aura |- |correct |answer |-Seizures |often |preceded |by |an |aura; |it |is |unique |to |that |patient, |not |every |
patient |has |them.
, Somatic: |rising |epigastric |sensation
Hallucinations: |Visual, |gustatory, |olfactory
Halos, |Zig-zags, |h/a, |paresthesias, |psychiatric |phenomenon, |deja-vu
Epilepsy |Partial: |- |correct |answer |-Partial |(also |called |focal |or |local |seizures): |Occurs |in |a |specific |
part |of |the |brain. |May |be |characterized |by |automatism |or |tic. |Ex: |Jerk, |reflex, |lip |smacking |
(complex)
Epilepsy |Simple: |- |correct |answer |-Client |does |not |consciousness. |Localized |jerking/movement. |
Strange |sensations. |Autonomic |symptoms.
Focal |awareness |they |do |not |lose |consciousness.
Epilepsy |Complex |- |correct |answer |-Involves |altered |LOC; |may |or |may |not |have |total |loss |of |
consciousness. |Automatisms. |Patient |may |wander |at |start |or |have |amnesia |after. |Most |common |
among |older |adults |and |difficult |to |diagnose |bc |symptoms |appear |similar |to |those |of |dementia, |
psychosis, |or |neurobehavioral |disorder, |esp |post-ictal.
Generalized |epilepsy |- |correct |answer |-Affects |brain |as |a |whole, |bilateral |seizure; |we |differentiate |
them |based |on |how |they |appear |while |observing |them.
absence |epilepsy |- |correct |answer |-(petit |mal): |Generalized |seizure |involving |sudden, |brief |loss |of |
consciousness. |Usually |diagnosed |in |children. |Appears |as |if |they |are |staring |off |into |space. |Lasts |
seconds.
tonic-clonic |epilepsy |- |correct |answer |-"Grand |mal." |Stereotypical |body |convulsions. |Lasts |minutes, |
involves |muscle |rigidity |and |convulsions. |Tonic=stiffening, |Clonic=jerking
Myoclonic |Epilepsy |- |correct |answer |-Brief |muscle |jerks, |lasts |seconds
Atonic |(akinetic) |Seizure |(drop |seizure) |- |correct |answer |-Involves |brief |loss |of |tone. |May |be |
confused |with |Fainting.
Acute |Seizure |Management |(Observation) |- |correct |answer |-History |(if |reported)
What |are |the |three |main |types |of |headaches? |- |correct |answer |-Migraine, |Tension, |Cluster
Steps |to |Pain |Assessment |- |correct |answer |-Provoking
Quality
Radiation
Severity |
Time
Provoking |- |correct |answer |-has |anything |made |it |better |or |worse
Quality |- |correct |answer |-Sharp, |dull, |achy, |throbbing
Radiation |- |correct |answer |-Does |it |radiate |to |another |part |of |the |body
Severity |- |correct |answer |-Pain |scale, |1-10 |scale, |intense |pain, |Other |symptoms: |N/V, |photophobia
Time |- |correct |answer |-how |long |has |it |been |going |on? |how |long |does |it |usually |last?
Tension |Headache |- |correct |answer |-Bandlike, |tightness
Describe |a |Migraine |- |correct |answer |-Unilateral, |supra |and |retro |orbital, |pulsating |or |throbbing, |
worse |with |movement, |sensitivity |with |light |and |sounds
Cluster |- |correct |answer |-Lancinationg |or |stabbing, |5-30 |minutes. |Extreme |pain
Migraine |Pathophysiology |- |correct |answer |-Pathophysiology |- |Not |entirely |clear.; |theories?
,Prevalence: |May |be |seen |in |children |and |adults; |Among |children |more |common |in |boys; |among |
adults |more |common |in |women. |
History |of |patient |with |migraine: |Otherwise |healthy, |usually |female |in |30's
|
Individualized |triggers |(stress, |smells, |foods, |hormones, |menses)
Tyramine |rich |foods- |chocolate, |cheeses, |beer, |wine, |cigar, |sweet |and |low.
Treatment |for |Migraine |- |correct |answer |-Vasoconstriction |works |the |best, |irritation |of |the |5th |
cranial |nerve, |Estrogen |hormone |can |causes |migraines.
Migraine |Manifestations |- |correct |answer |-Manifestations
Pain: |Usually |unilateral, |supra/retro-orbital, |pulsating. |Worse |with |movement. |
Accompanied |by |non-h/a |symptoms: |N/V, |photophobia, |phonophobia, |
Aura: |(20% |of |cases):
Migraine |Interventions |- |correct |answer |-Pain |management
Symptom |management |
Ex. |Pitch |black, |turn |off |all |the |lights, |N/V |causes |dehydration
Migraine |Drug |Therapy |- |correct |answer |-APAP/Caffeine/ |Butabital |(Fioricet)
NSAIDS |: |Naprosyn
CCBs |and |Beta- |Blockers |(Preventative |therapy) |: |Verapamil
Triptans |and |ergotamine's: |Sumatriptan |and |Cafergot
Anticonvulsants |(Preventative |therapy): |Topiramate
Botox |Injections |(monthly) |
Magnesium
Migraine |Complementary |and |alternative |therapies |- |correct |answer |-Acupuncture, |Yoga, |Stress |
reduction |activities, |Supplemental |mag, |Distraction |sometimes |works.
Pound |acronym |- |correct |answer |-P:Pulsating
,O:Duration |
U: |Unilateral |location
N: |N/V
D: |Disabling
Epilepsy |- |correct |answer |-Chronic |disorder |with |two |or |more |seizures |experienced |by |the |client.
Epilepsy |Assessment |- |correct |answer |-Inquire |about |the |seizure |activity, |frequency, |precipitating |
factors, |aura |(pre-ictal |phase). |
Family |history
Collateral |medical |conditions |(hx |stroke, |HTN, |TBI, |drug/alcohol |abuse)
Seizure |risk |factors |- |correct |answer |-V: |Vascular |
I: |Infection |or |Inherited |conditions
T: |Trauma
A: |Alzheimers/Autoimmune
M: |Metabolic |derangements
I: |Idiopathic
N: |Neoplasm
S: |pSychiatric
Epilepsy |Triggers |- |correct |answer |-Sleep |deprivation
Stress
Alcohol/ |Alcohol |Withdrawl
MSG |
pg |878 |Chart |42-9
Aura |- |correct |answer |-Seizures |often |preceded |by |an |aura; |it |is |unique |to |that |patient, |not |every |
patient |has |them.
, Somatic: |rising |epigastric |sensation
Hallucinations: |Visual, |gustatory, |olfactory
Halos, |Zig-zags, |h/a, |paresthesias, |psychiatric |phenomenon, |deja-vu
Epilepsy |Partial: |- |correct |answer |-Partial |(also |called |focal |or |local |seizures): |Occurs |in |a |specific |
part |of |the |brain. |May |be |characterized |by |automatism |or |tic. |Ex: |Jerk, |reflex, |lip |smacking |
(complex)
Epilepsy |Simple: |- |correct |answer |-Client |does |not |consciousness. |Localized |jerking/movement. |
Strange |sensations. |Autonomic |symptoms.
Focal |awareness |they |do |not |lose |consciousness.
Epilepsy |Complex |- |correct |answer |-Involves |altered |LOC; |may |or |may |not |have |total |loss |of |
consciousness. |Automatisms. |Patient |may |wander |at |start |or |have |amnesia |after. |Most |common |
among |older |adults |and |difficult |to |diagnose |bc |symptoms |appear |similar |to |those |of |dementia, |
psychosis, |or |neurobehavioral |disorder, |esp |post-ictal.
Generalized |epilepsy |- |correct |answer |-Affects |brain |as |a |whole, |bilateral |seizure; |we |differentiate |
them |based |on |how |they |appear |while |observing |them.
absence |epilepsy |- |correct |answer |-(petit |mal): |Generalized |seizure |involving |sudden, |brief |loss |of |
consciousness. |Usually |diagnosed |in |children. |Appears |as |if |they |are |staring |off |into |space. |Lasts |
seconds.
tonic-clonic |epilepsy |- |correct |answer |-"Grand |mal." |Stereotypical |body |convulsions. |Lasts |minutes, |
involves |muscle |rigidity |and |convulsions. |Tonic=stiffening, |Clonic=jerking
Myoclonic |Epilepsy |- |correct |answer |-Brief |muscle |jerks, |lasts |seconds
Atonic |(akinetic) |Seizure |(drop |seizure) |- |correct |answer |-Involves |brief |loss |of |tone. |May |be |
confused |with |Fainting.
Acute |Seizure |Management |(Observation) |- |correct |answer |-History |(if |reported)
