NUR 146 Neuroregulation Exam With Complete Solution
Migraines (Risk Factors)
-Family history
-Increased body weight
-Hypertension
-Hypercholesterolemia
-Impaired insulin sensitivity
-Stroke
-CAD innocent
Migraines (Triggers)
-Menstrual cycle
-Dietary habits Irregular eating schedule
-Bright lights
-Stress
-Depression
-Lack of sleep
-Meds
-Alcohol
-Foods MSG-chinese food tyramine: cheeses chocolate milk, coffee
Brainpower
Read More
Migraines (4 Phases)
-Prodromal
,-Aura Phase
-Attack Phase
-Postdromal Phase
Migraines (Prodromal Phase)
(Not everyone has this phase)
-Excessive thirst/food cravings, lack of appetite
-Change in energy levels or mood
Migraines (Aura Phase)
(Not everyone has this phase)
-Indicates imminent beginning of migraine
-Visual disturbances
-Motor/speech/sensory disturbances
Migraines (Attack Phase)
-Onset of intense and severe pain
-Pulsating sensations
-Nausea
-Blurred vision and dizziness
Migraines (Postdromal Phase)
Pain subsides
Localized tenderness, feels fatigued, drained
Migraines (Medications)
Sumatriptan (most common) PO/SQ/SL
,do not take other ergomines or -triptans within 24 hours
causes vasoconstriction, reduce inflammation, also relieves HA, photo and
phonophobia, N/V
Wait 2 hour before repeating dose, report eyelid and lip edema (Allergic rxn) swallow
whole with fluid
Migraines (Medications)
Ergot alkaloids
less expensive
needs to be taken ASAP to be effective, otherwise does not work if not taken soon
enough
Migraines (Preventative Meds)
Antiepileptic Drugs
-Beta blockers
-Tricyclic antidepressants
-Botulinum toxin (BOTOX)
Seizures
NOT considered epilepsy if seizures stop AFTER underlying problem is corrected.
Abrupt, abnormal, excessive and uncontrolled electrical discharge of neurons in the
brain that interrupts the normal function causing alterations in LOC and/or changes in
motor and sensory ability and/or behavior
, Seizures (Types)
-Generalized tonic-clonic seizures
-Simple partial seizures
-Complex partial seizures
Seizures: Generalized (tonic clonic)
-Most commonly seen
-Affects both hemispheres of the brain
First phase:
muscles stiffen up, may let out loud groan, chest and diaphragm tense up, stop
breathing
Second phase:
rapid/jerky movements in extremities, lasts 1-2 minutes, irregular RR/ pattern
may lose control of bladder/bowel
After seizure
Migraines (Risk Factors)
-Family history
-Increased body weight
-Hypertension
-Hypercholesterolemia
-Impaired insulin sensitivity
-Stroke
-CAD innocent
Migraines (Triggers)
-Menstrual cycle
-Dietary habits Irregular eating schedule
-Bright lights
-Stress
-Depression
-Lack of sleep
-Meds
-Alcohol
-Foods MSG-chinese food tyramine: cheeses chocolate milk, coffee
Brainpower
Read More
Migraines (4 Phases)
-Prodromal
,-Aura Phase
-Attack Phase
-Postdromal Phase
Migraines (Prodromal Phase)
(Not everyone has this phase)
-Excessive thirst/food cravings, lack of appetite
-Change in energy levels or mood
Migraines (Aura Phase)
(Not everyone has this phase)
-Indicates imminent beginning of migraine
-Visual disturbances
-Motor/speech/sensory disturbances
Migraines (Attack Phase)
-Onset of intense and severe pain
-Pulsating sensations
-Nausea
-Blurred vision and dizziness
Migraines (Postdromal Phase)
Pain subsides
Localized tenderness, feels fatigued, drained
Migraines (Medications)
Sumatriptan (most common) PO/SQ/SL
,do not take other ergomines or -triptans within 24 hours
causes vasoconstriction, reduce inflammation, also relieves HA, photo and
phonophobia, N/V
Wait 2 hour before repeating dose, report eyelid and lip edema (Allergic rxn) swallow
whole with fluid
Migraines (Medications)
Ergot alkaloids
less expensive
needs to be taken ASAP to be effective, otherwise does not work if not taken soon
enough
Migraines (Preventative Meds)
Antiepileptic Drugs
-Beta blockers
-Tricyclic antidepressants
-Botulinum toxin (BOTOX)
Seizures
NOT considered epilepsy if seizures stop AFTER underlying problem is corrected.
Abrupt, abnormal, excessive and uncontrolled electrical discharge of neurons in the
brain that interrupts the normal function causing alterations in LOC and/or changes in
motor and sensory ability and/or behavior
, Seizures (Types)
-Generalized tonic-clonic seizures
-Simple partial seizures
-Complex partial seizures
Seizures: Generalized (tonic clonic)
-Most commonly seen
-Affects both hemispheres of the brain
First phase:
muscles stiffen up, may let out loud groan, chest and diaphragm tense up, stop
breathing
Second phase:
rapid/jerky movements in extremities, lasts 1-2 minutes, irregular RR/ pattern
may lose control of bladder/bowel
After seizure
