Maryville NURS 620 Exam 1 with completed solutions

Four types of headaches Traction (tension), Vascular (migraine), cluster, mixed (vascular and tension), Inflammatory How do you treat migraines? 1. Avoid triggers 2. Use biofeedback 3. Use abortive therapy... medications 4. Preventative medications 00:07 01:27 What are some of the ABORTIVE migraine medications? 'Triptans' Trip the switch to abort the headache Almotriptan (Exert) Eletriptan (Relpax) Frovatriptan (Frova Sumatriptan (Imitrex) Zolmatriptan (Zomig) PREVENTATIVE/PROPHYLACTIC migraine medicines Beta-blockers "olol" Propranolol Metoprolol Timolol Atenolol Dizziness is a sensation of unsteadiness, or feeling of movement inside of the head Vertigo is Sensation of the room spinning and obects moving around the head Differential Diagnosis for dizziness would be 1. Anxiety 2. CNS disorders 3. Systemic disorders 4. Peripheral vestibular disease Differential diagnosis for dizziness and vertigo Peripheral Vestibular Disease, systemic disorder, central nervous system disorder Peripheral Vestibular Disease is There is a problem located in the labyrinth of the middle ear. Signs and symptoms include dizziness, N/V, diaphoresis, trouble balancing, vertigo, tinnitus, pressure in the ear, intermittent hearing loss, diplopia. Medications prescribed for vertigo? Meclizine Phenergan. Take these medications for a week, then taper slowly. Diamox can also be used to decrease edema in the labyrinth. Antiemetics (Compazine and Tigan) If the patient has systemic disorders, the following symptoms will occur Lightheadedness, pallor, dyspnea, tachycardia, bounding pulse, weakness,hypotension, blurred vision, headache, diaphoresis. PARESIS IS WEAKNESS