NUR 915 Module 5 Test With Complete Solution

NUR 915 Module 5 Test With
Complete Solution

What are some signs/symptoms of migraine? - ANSWER
-pulsating/throbbing headache

-lasts 4-72 hours

-unilateral pain

-worse with activity

-N/V, photophobia, phonophobia

-may have aura

How are migraines diagnosed? - ANSWER -H/P findings

-no specific testing

What is the first line treatment for migraines in adults during an acute
migraine attack? - ANSWER -triptans

-can use with NSAIDs

*avoid in pregnancy

What is the second line treatment for migraines in adults during an acute
migraine? - ANSWER -ergotamine (Cafergot)

-up to 6 times per attack

-no more than 10 days per month

, *avoid in pregnancy

What other medications can be used to treat migraines in adults to treat
symptoms? - ANSWER -NSAIDS/tylenol for pain relief

-Metoclopramide/ prochlorperazine/ondansetron for nausea

What are some non-pharmacological measures for treating migraines? -
ANSWER -sit in dark room

-avoid precipitating factors

-consider different medication routes if oral not tolerated

-consider preventative tx (BBs, TCAs, etc)

-relaxation

-behavioral therapy

-change diet/exercise

-limit stress

-good sleep hygiene

-acupuncture

What is the first line abortive treatment for migraines in pediatrics? -
ANSWER -ibuprofen

*more effective than tylenol

What is the second line abortive treatment for migraines in pediatrics? -
ANSWER -triptans

*don't use if CVD, PVD, or cerebrovascular disease