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Treatment plan for voiding dysfunction - ANSWER-A timed
voiding schedule is an important part of bladder retraining.
Biofeedback and Kegel exercises (pelvic floor relaxation and
contraction) can also effectively help manage dysfunctional
voiding.
Mirabegron is a medication approved to treat certain types of
urinary incontinence. It relaxes the bladder muscle and can
increase how much urine the bladder can hold. It might also
increase the amount you're able to urinate at one time. This
may help you to empty the bladder more completely.
Treatment for Migraines - ANSWER-Acute: NSAIDs,
acetaminopehn, Caffeine
containing
Excedrin
DHE (serotonine 5-HE agonist)
TRIPTANS
,Sumatriptan (DO NOT USE WITH CAD: causes
vasoconstriction)
Prophylaxis: TCAs, propranolol
(beta blocker)
Verapamil is
second line
Treatment for headaches - ANSWER-
Acetamenophin/Aspirin NSAIDs and
antiemetics
Fioricet and Fiorinal, Butalibal (narcotic) Antidepressants
(SSRI) Amilitriptyline
Treatment for seizures - ANSWER-Obtain IV access, valium 5mg
or midazolam
3mg, continue to monitor and support, activate EMS if
refractory or recurrent
seizures
Treatment for Parkinson's - ANSWER-levodopa...carbodopa
Treatment for Gout - ANSWER-1st line: NSAIDS
(Indomethacin)
2nd line: If allergic to NSAIDS, Colchione or
Prednisone
Allopurinol (adjust dose for pts with
kidney failure)
, Check uric
acid
control pain and
inflammation
Treatment for Alzheimers - ANSWER-Rivastigmine,
Donepezil, galantamine
(diarrhea).
Ach - esterase inhibitors - *Cause
diarrhea*
Memantine- NMDA antagonist - want to decrease
excitability
* none of these improve the memory only decrease
rate of decline*
maximize quality of
life
Sumatriptan/ Topiramate - ANSWER-Imitrex (sumatriptan) and
Topamax (topiramate) are used to treat migraine headaches.
Topamax is also used for preventing epileptic seizures and
migraine headaches. Imitrex is a selective serotonin receptor
agonist (also called a triptan) and Topamax is an
anticonvulsant.
mechanism of action sumatriptan - ANSWER-Sumatriptan is an
agonist of 5HT1B and 5-HT1D. This agonism leads to
constriction of cranial blood vessels and inhibits the release of
pro-inflammatory neuropeptides. Sumatriptan decreases