NURS 218 EXAM 4 QUESTIONS AND VERIFIED DETAILED
ANSWERS
cluster headache - ANSWER - severe piercing or burning sensations centered around
the eye or cheek
-pathophysiology: unknown
-Pharmacotherapy: subcutaneous sumatriptan and oxygen
Tension Headache - ANSWER - nonmigraine headache characterized by pain occurring
in the entire or part of the head
-Pathophysiology: increased sensitivity of pain pathway and distorted interpretation of
signals
-Pharmacotherapy: rest, stress management, and acetaminophen
migraine headache - ANSWER - paroxysmal (sudden, periodic) attacks of mostly
unilateral headache
- Pathophysiology: trigeminal nerve stimulation and vasodilation
- Drug therapy: Abortive therapy
- medication to treat symptoms
- Non-steroidal anti-inflammatory
agents
- Acetaminophen-aspirin w/
caffeine
- triptans
Preventative therapy
- to prevent the development of a
migraine
, Naproxen - ANSWER Action- nonselective inhibitor or cyclooxygenase which inhibits
COX-1 and COX-2
Treatment of migraine pain, other pain, and inflammation
Causes: bronchospasm and anaphylaxis
Acetaminophen - ANSWER Action: an analgesic
Treatment of : headaches
Causes: liver damage in overdose
Asprin - ANSWER Action: mediator of inflammation by inhibiting prostaglandins
Use: headaches
Effects: GI upset
Caffeine - ANSWER Action: constriction of blood vessels; vascular constriction
Treatment of: headaches and energy
Causes: excitement, insomnia, jitters
Sumatriptan - ANSWER Action: binds to serotonin receptors producing constriction of
the cranial blood vessels and relieving pain
Abortive therapy for migraine headaches
Side effects: dizziness, anxiety, fatique and chest pain
Patient Teaching Guidelines - ANSWER - take with food to avoid GI upset
Report black tarry stool and abdominal pain
Do not exceed prescribed dose
Dispose needles safely
Teach how to administer
ANSWERS
cluster headache - ANSWER - severe piercing or burning sensations centered around
the eye or cheek
-pathophysiology: unknown
-Pharmacotherapy: subcutaneous sumatriptan and oxygen
Tension Headache - ANSWER - nonmigraine headache characterized by pain occurring
in the entire or part of the head
-Pathophysiology: increased sensitivity of pain pathway and distorted interpretation of
signals
-Pharmacotherapy: rest, stress management, and acetaminophen
migraine headache - ANSWER - paroxysmal (sudden, periodic) attacks of mostly
unilateral headache
- Pathophysiology: trigeminal nerve stimulation and vasodilation
- Drug therapy: Abortive therapy
- medication to treat symptoms
- Non-steroidal anti-inflammatory
agents
- Acetaminophen-aspirin w/
caffeine
- triptans
Preventative therapy
- to prevent the development of a
migraine
, Naproxen - ANSWER Action- nonselective inhibitor or cyclooxygenase which inhibits
COX-1 and COX-2
Treatment of migraine pain, other pain, and inflammation
Causes: bronchospasm and anaphylaxis
Acetaminophen - ANSWER Action: an analgesic
Treatment of : headaches
Causes: liver damage in overdose
Asprin - ANSWER Action: mediator of inflammation by inhibiting prostaglandins
Use: headaches
Effects: GI upset
Caffeine - ANSWER Action: constriction of blood vessels; vascular constriction
Treatment of: headaches and energy
Causes: excitement, insomnia, jitters
Sumatriptan - ANSWER Action: binds to serotonin receptors producing constriction of
the cranial blood vessels and relieving pain
Abortive therapy for migraine headaches
Side effects: dizziness, anxiety, fatique and chest pain
Patient Teaching Guidelines - ANSWER - take with food to avoid GI upset
Report black tarry stool and abdominal pain
Do not exceed prescribed dose
Dispose needles safely
Teach how to administer
