NU 641 Study Guide Questions with Correct
Answers
Nicotine potentiates
gastric aggressive factors
Nicotine increases
Heart rate and BP and vasoconstriction
stepwise escalation of pain management
- non-opiates
- increased dose of non-opiates
- opiates as tolerated
Clinical characteristic of medication overuse for headaches is
headache returns once medication wears off
acute treatment of migraines
NSAIDs
Triptans
lifestyle changes
Migraine treatment in pregnancy
Acetaminophen
Avoidance of triptans
potential impact of topamax (topiramate) an anticonvulsant for acute migraine therapy
, impaired ability to properly sweat during exercise that can lead to hyperthermia or
overheating
drug classes for prophylaxis of migraines
BB - atenolol, metoprolol, propranolol
CCBs - diltiazem
Antidepressants - amitriptyline, venlafaxine
anticonvulsants - divalproex (depakote), valproate, topiramate
triptans like sumatriptan (imitrex), almotriptan (axer), etc
do NOT effectively treat tension headaches
Verapimil is the drug of choice for prophylaxis of
episodic and chronic cluster headaches
minocycline use and headaches
assess for pseudotumor cerebri (ptc) prior to treatment
withdrawal seizures can occur if
levetiracetam is abruptly stopped and should be told to not stop without consultation
Estrogen derivatives may decrease serum concentrations of
lamotrigine (lamictal)
seizure disorder treatment during conception and pregnancy
lamotrigine and levetiracetam monotherapy
drugs to avoid during pregnancy/conception
valproate (depakote)
Answers
Nicotine potentiates
gastric aggressive factors
Nicotine increases
Heart rate and BP and vasoconstriction
stepwise escalation of pain management
- non-opiates
- increased dose of non-opiates
- opiates as tolerated
Clinical characteristic of medication overuse for headaches is
headache returns once medication wears off
acute treatment of migraines
NSAIDs
Triptans
lifestyle changes
Migraine treatment in pregnancy
Acetaminophen
Avoidance of triptans
potential impact of topamax (topiramate) an anticonvulsant for acute migraine therapy
, impaired ability to properly sweat during exercise that can lead to hyperthermia or
overheating
drug classes for prophylaxis of migraines
BB - atenolol, metoprolol, propranolol
CCBs - diltiazem
Antidepressants - amitriptyline, venlafaxine
anticonvulsants - divalproex (depakote), valproate, topiramate
triptans like sumatriptan (imitrex), almotriptan (axer), etc
do NOT effectively treat tension headaches
Verapimil is the drug of choice for prophylaxis of
episodic and chronic cluster headaches
minocycline use and headaches
assess for pseudotumor cerebri (ptc) prior to treatment
withdrawal seizures can occur if
levetiracetam is abruptly stopped and should be told to not stop without consultation
Estrogen derivatives may decrease serum concentrations of
lamotrigine (lamictal)
seizure disorder treatment during conception and pregnancy
lamotrigine and levetiracetam monotherapy
drugs to avoid during pregnancy/conception
valproate (depakote)
