Module 5|NURS 5433 Module 5 ( Neuro): 100% Verified Questions & Answers: Latest Updated

What are some characteristics of a tension headache? (Ans – bilateral location, no n/v, no photophobia or phonophobia, not pulsating, not aggravated by activity, dull vice like pressure around the head. Muscle tightness will accompany these What are risk factors for tension headaches? (Ans – stress, anxiety, depression, alcohol What are the abortive medications for tension headache? (Ans – NSAIDs, butalbital butalbital can cause overuse headache if used more than 2x/week What medications can be used for prevention of tension headaches? (Ans – ONLY for frequent tension headaches (1-14 days per month for more than 3 months) Antidepressants, muscle relaxersWhen do you refer a patient with tension headaches? (Ans – unresolved after treatment, more severe or varies from usual pattern (neurologist) What is diagnostic criteria for cluster headaches? (Ans - at least 5 attacks that are severe or very severe, unilateral, ispilateral conjunctival injections and lacrimation, eyelid edema, forehead sweating and ptsosis. the eye is what separates cluster headaches from a migraine. Eye will be watering, swollen. Can be every other day, to 8 per day lasting 15-180 minutes. Very common at night What is non-pharm treatment for cluster headaches? (Ans – avoid triggers like alcohol, nicotine, strong emotions and sleep problemsWhat are the pharm treatments for cluster headache? (Ans – "COTS" CCBs (verapamil) oxygen (10-15L per NRB mask) Triptans Steroids (prednisone) What do you need to monitor on a patient who is taking medications for cluster HA? (Ans – EKD, thyroid, renal, electrolytes How would you describe temporal arteritis? (Ans – systemic inflammatory vasculitis of large and medium sized arteries. Usually affects the arteries that supply the neck and head. What age is most affected by temporal arteritis? (Ans - over 50 with mean onset at age 71What disease process is temporal arteritis related to? (Ans - polymyalgia rheumatica What is the patho behind temporal arteritis? (Ans - an infection triggers immune response that affects the inside of the artery walls, which causes an influx of T cells and macrophages. This causes the arteries to respond with proliferation of smooth muscle and eventually, this blocks off the vessel What branches of the aorta are most commonly affected by temporal arteritis? (Ans - sublclavian, axillary and brachial, temporal, ophthalmic, posterior ciliary