Headache Management and Medications
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Questions and Answers

What is a recommended nursing care focus during a headache episode?

  • Ensure the client takes antibiotics as a preventive measure
  • Encourage physical activity to alleviate pain
  • Maintain a cool, dark, quiet environment (correct)
  • Provide a stimulating environment to distract the client
  • Which medication is considered an abortive therapy for mild migraines?

  • OnabotulinumtoxinA
  • Zolmitriptan
  • Divalproex
  • Ibuprofen (correct)
  • In what circumstance should neuroimaging be performed?

  • Only when headaches occur after physical activity
  • When nausea accompanies the headache
  • If the client is over 50 years old with new headaches (correct)
  • In case of headaches lasting less than 24 hours
  • Which medication class is included in preventive therapy for frequent headaches?

    <p>NSAIDs with beta-blockers (B)</p> Signup and view all the answers

    What is a necessary instruction for clients taking beta-adrenergic blockers?

    <p>Regularly check their pulse (A)</p> Signup and view all the answers

    What dietary substances should be avoided to decrease the likelihood of migraine triggers?

    <p>Foods high in tyramine, such as aged cheese and beer (B)</p> Signup and view all the answers

    What is the purpose of keeping a diary for headache patterns and triggers?

    <p>To identify changes in intensity and new symptoms (B)</p> Signup and view all the answers

    Which complementary therapy may help alleviate muscle tension related to migraines?

    <p>Yoga and meditation (C)</p> Signup and view all the answers

    What should clients be cautious about when considering herbal remedies for migraines?

    <p>They may interact with prescription medications (D)</p> Signup and view all the answers

    What duration should the external trigeminal nerve stimulator be used daily for migraine relief?

    <p>For no more than 20 minutes per day (C)</p> Signup and view all the answers

    What is the typical duration of a cluster headache episode?

    <p>15 minutes to 3 hours (C)</p> Signup and view all the answers

    What is a common characteristic of cluster headaches in terms of gender prevalence?

    <p>More common in males aged 20 to 50 (B)</p> Signup and view all the answers

    Which of the following symptoms is NOT typically associated with cluster headaches?

    <p>Aura before headache (A)</p> Signup and view all the answers

    During a cluster headache, which of the following behaviors is often observed in affected individuals?

    <p>Sitting and rocking (C)</p> Signup and view all the answers

    Cluster headaches are often followed by what specific phase?

    <p>A period of remission (B)</p> Signup and view all the answers

    Which symptom is associated with cluster headaches?

    <p>Tearing of the eye (A)</p> Signup and view all the answers

    What demographic is most frequently affected by cluster headaches?

    <p>Males between 20 to 50 years (C)</p> Signup and view all the answers

    What is an expected behavior during a cluster headache episode?

    <p>Pacing or sitting and rocking (B)</p> Signup and view all the answers

    What is one of the physiological effects noted during a cluster headache?

    <p>Miosis (pupil constriction) (B)</p> Signup and view all the answers

    What is an appropriate home care strategy during a headache episode?

    <p>Remain in a cool, dark, quiet environment (A)</p> Signup and view all the answers

    Which of the following medications is primarily acute therapy for migraine headaches?

    <p>Triptans (A)</p> Signup and view all the answers

    Which of these foods should be avoided to prevent migraines?

    <p>Foods containing tyramine (C)</p> Signup and view all the answers

    What is recommended regarding oxygen use during a headache?

    <p>Maintain safety precautions while using oxygen (D)</p> Signup and view all the answers

    Which factor can trigger headaches according to the provided information?

    <p>Excessive physical activity (B)</p> Signup and view all the answers

    What is the primary cause of dry macular degeneration?

    <p>Gradual blockage in retinal capillary arteries (B)</p> Signup and view all the answers

    Which of the following is NOT a risk factor for dry macular degeneration?

    <p>Obesity (B)</p> Signup and view all the answers

    Which group is most likely to be affected by dry macular degeneration?

    <p>Caucasian women over 60 (D)</p> Signup and view all the answers

    What underlying factor contributes to wet macular degeneration?

    <p>New growth of blood vessels with thin walls (D)</p> Signup and view all the answers

    At which age can wet macular degeneration potentially occur?

    <p>At any age (B)</p> Signup and view all the answers

    Flashcards

    Migraine headache treatment

    Includes abortive therapy (to relieve pain during or after the headache) and preventive therapy for frequent headaches.

    Migraine abortive therapy (mild)

    Uses NSAIDs, acetaminophen, and over-the-counter anti-inflammatory medications for mild migraines.

    Migraine abortive therapy (severe)

    Employs triptans (vasoconstrictors), ergotamine with caffeine (blood vessel narrowers), and isometheptene for severe migraines when other meds fail.

    Migraine preventive therapy

    Uses NSAIDs with beta-blockers, calcium channel blockers, or antiepileptics, or onabotulinumtoxinA injections for chronic migraines.

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    Neuroimaging in headaches

    Imaging tests done if neurologic issues arise or the patient is over 50 with new-onset headaches.

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    Trigger avoidance

    Avoiding specific foods, medications, environmental factors, and lifestyle habits that can trigger migraines.

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    Hormonal triggers

    Hormone fluctuations, particularly during menstruation and ovulation, can trigger migraines in some women.

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    Complementary therapies for migraines

    Alternative treatments like yoga, meditation, tai chi, and acupuncture can help with relaxation and pain management.

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    External trigeminal nerve stimulator

    A wearable headband that stimulates the trigeminal nerve to reduce migraine pain.

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    Tyramine: The migraine villain

    Foods rich in tyramine, like aged cheese and pickled foods, can trigger migraines.

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    Cluster headache frequency

    Cluster headaches occur more frequently during the spring and fall months.

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    Cluster headache demographic

    Cluster headaches are more common in males (sex assigned at birth) between the ages of 20 and 50.

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    Cluster headache pain

    Cluster headaches cause intense, unilateral, nonthrobbing pain that lasts 15 minutes to 3 hours and may radiate to the forehead, temple, or cheek.

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    Cluster headache symptoms

    Other symptoms of cluster headaches include tearing, runny nose, nasal congestion, facial sweating, drooping eyelid, miosis, facial pallor or flushing, bradycardia, nausea, vomiting, and a strong urge to pace, walk, or rock.

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    Cluster headache vs. migraine

    Cluster headaches are less common than migraines and lack an aura or preliminary manifestations.

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    Cluster Headache Location

    The pain of a cluster headache is intense and localized to one side of the head, often radiating to the forehead, temple, or cheek.

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    Cluster Headache Duration

    A cluster headache episode lasts for 15 minutes to 3 hours, unlike migraines, which can last for days.

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    Cluster Headache Triggers?

    There are no specific triggers for cluster headaches, unlike migraines which can be triggered by certain foods, stress, or menstruation.

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    Oxygen Therapy for Headache Relief

    Inhaling oxygen at 12 liters per minute for 15-20 minutes at the onset of a headache can provide relief within 15 minutes.

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    Triptans for Migraines

    Triptans, a type of medication, work as vasoconstrictors, narrowing blood vessels and relieving migraine pain.

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    Trigger Foods for Migraines

    Foods containing tyramine, MSG, and nitrites, like aged cheese and processed meats, can trigger migraines.

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    Prevent Headaches: Relaxation

    Complementary and alternative therapies like yoga, meditation, and tai chi can promote relaxation, which helps prevent headaches.

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    Prevent Headaches: Sunglasses

    Wearing sunglasses to reduce light and glare can help prevent headaches.

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    Macular Degeneration

    A condition affecting the macula, the central part of the retina, causing central vision loss. It's often age-related and has no cure.

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    Dry AMD

    The most common type of macular degeneration caused by gradual blockage of arteries in the retina, leading to cell death in the macula.

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    Wet AMD

    A less common but more serious type of AMD where new, leaky blood vessels grow in the macula, causing fluid and blood leakage.

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    Risk Factors for AMD

    Factors that increase the chance of developing AMD include smoking, hypertension, female sex, short stature, family history, lack of carotene and vitamin E in diet, age over 60, and Caucasian race.

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    AMD Types & Differences

    Dry AMD is more common, caused by gradual blockage of retinal arteries leading to ischemic damage. Wet AMD is less frequent, involving abnormal blood vessel growth and leakage.

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    Study Notes

    Diagnostic Procedures

    • Neuroimaging is recommended if neurological findings are present or if the client is over 50 with a new onset of headaches.

    Patient-Centered Care

    • Focus of nursing care during a headache is pain management.
    • Maintain a cool, dark, and quiet environment.
    • Elevate the head of the bed 30 degrees.
    • Administer prescribed medications (analgesics and antiemetics).

    Medications

    Abortive Therapy

    • Used to alleviate pain during or soon after the start of a headache (for aura or regular onset of headaches).
    • Mild migraines: NSAIDs (ibuprofen, naproxen), acetaminophen, and over-the-counter anti-inflammatory medications.
    • Antiemetics (metoclopramide) for nausea and vomiting.
    • Severe migraines: Triptan preparations (zolmitriptan, sumatriptan, eletriptan) for vasoconstriction.
    • Ergotamine preparations with caffeine (dihydroergotamine) to narrow blood vessels and reduce inflammation.
    • Isometheptene in combination formulations if other medications are ineffective.

    Preventive Therapy

    • Used for frequent headaches or when other therapies are ineffective.
    • NSAIDs with beta-blockers (propranolol), calcium channel blockers, or antiepileptic medications (divalproex, topiramate).
    • Monitor pulse when taking beta-blockers and calcium channel blockers.
    • OnabotulinumtoxinA (Botox) is approved for chronic migraines in adults. Injected into head and neck; up to 5 treatment cycles.

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    Description

    This quiz covers essential diagnostic procedures, patient-centered care techniques, and abortive therapies for managing headaches. It focuses on identifying appropriate medications and strategies to alleviate pain during a headache episode, including NSAIDs, triptans, and antiemetics.

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