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chapter 51: drug therapy for migraines and other headaches

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three types of headaches
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1. migraine headache 2. cluster headaches 3. tension headaches
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Treatment of cluster headaches involves
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subcutaneous sumatriptan and oxygen
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Acute therapy for tension headaches uses
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nonpharmacological methods such as rest, relaxation, or stress reduction strategies as well as medication. “Tension headaches usually use a lot of other treatments as well other than meds”
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Pharmacological treatment of tension headaches includes
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acetaminophen, aspirin, and NSAIDS.
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two therapies for migraine headaches
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1. abortive therapy 2. preventive therapy
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Naproxen Sodium (an NSAID) is used to reduce the pain resulting from….
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acute migraines
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adverse effects of Naproxen Sodium (2)
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bronchospasm and anaphylaxis.
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BBW for Naproxen Sodium
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Black box warning stating that naproxen sodium may put patients at increased risk for cardiovascular events and GI bleeding
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Acetaminophen, Aspirin, and Caffeine (acedrin has caffeine in it) are used to reduce pain related to which two types of headaches
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migraine or tension headache -Each component has adverse effects and contraindications. -Patient teaching regarding each medication
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Ergot Alkaloids- is arbortive therapy for what type of headaches?
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migraine
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Ergot Alkaloids example
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Ergot Alkaloids is an —- antagonist
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Alpha-adrenergic antagonist
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Ergot Alkaloids produces stimulation of the …
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cranial and peripheral vascular smooth muscles while depressing the effects of the central vasomotor centers
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when should you administer medications for migraines
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a the onset of the migraine symptoms
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With the administration of all sumatriptan preparations, it is necessary to
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monitor the blood pressure for hypertension.
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Black box warnings
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Cardiovascular risk GI risk
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Estradiol is used in the treatment of what type of migrains?
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menstrual migraines Prophylactic administration minimizes the premenstrual decline in estrogen that precipitates the development of the migraine headache. Transcutaneous dministration
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Prophylactic administration minimizes
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the premenstrual decline in estrogen that precipitates the development of the migraine headache.
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estradiol uses what type of administration?
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Transcutaneous administration
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four preventative therapies for migraine headaches
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1. Carboxylic acid derivative- ** for prevention of migraines 2. Gamma-aminobutyric acid- ** for prevention of migraines 3. Sulfamate-substituted monosaccharide 4. Beta-adrenergic blocking agents 5. Calcium channel blockers 6. Angiotensin-converting enzyme inhibitors 7. Angiotensin II receptor blockers 8. Tricyclic antidepressants 9. Herbal supplements
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Adjuvant Medications are administered during
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preoperative, intraoperative, and postoperative phase in support of balanced anesthesia
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two adjuvant mediations
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1. Benzodiazepines- for relaxation of the patient 2. Opioid analgesics – for relaxation of the patient
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two antiemetics
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1. Thorazine- treats both headache & nausea 2, Compazine – take pill whole – do not crush or give deep IM (don’t use this as much, now they use zofran more)