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19 Cards in this Set

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Name 4 vascular headache suppressants?
alpha-adrenergic blockers
beta blockers
5 HT1 agonists
miscellaneous
Name 2 alpha-adrenergic blockers?
dihydroergotamine
ergotamine
Name 2 beta blockers?
propranolol
timolol
Name 7 HT1 agonists?
almotriptan
eletriptan
frovatriptan
naratriptan
rizatriptan
sumatriptan
zolmitriptan
Name 4 miscellaneous vascular headache suppressants?
divalproex sodium
valproate sodium
valproic acid
verapamil
Vascular headache suppressants are used for acute treatment of vascular headaches. Three types are?
migraine
cluster headaches
migraine variants
Ergot derivatives (ergotamine, dihydroergotamine)directly stimulate 1______-adrenergic and 2______ receptors, producing vascular smooth muscle (vasoconstriction, vasodilation).
1 alpha
2 serotonergic
vasoconstriction
Almotriptan, frovatriptan, naratriptan, risatriptan, sumatriptan, and zolmitriptan produce (vasoconstriction, vasodilation) by acting as serotonin (5-HT1) agonists.
vasoconstriction
Contraindications?
Avoid using these agents in patients with ischemic _____ disease.
cardiovascular
Precautions?
Use cautiously in patients with a history of or risk for _____ disease.
cardiovascular
Interactions?
Avoid concurrent use of ____ derivative agents with serotonin agonist agents; see also individual agents.
ergot
ASSESSMENT:
Assess what 8 characteristics of pain during a migraine attack.
location
intensity
duration
associated symptoms (photophobia, phonophobia, nausea, vomiting)
List 2 potential nursing diagnoses?
pain, acute
knowledge, deficient, related
to disease processes and
medication regimen
IMPLEMENTATION:
Medication should be administered at the first sign of a ______.
headache
Inform patient that medication should be used only during a migraine attack. It is meant to be used for relief of migraine attacks but not to prevent or reduce the number of attacks.
okay
Advise patient that lying down in a darkened room following medication administration may further help relieve headache.
okay
May cause dizziness or drowsiness. Caution patient to avoid driving or other activities requiring alertness until response to medication is known.
okay
Advise patient to avoid alcohol, which aggravates headaches.
okay
EVALUATION:
Effectiveness of therapy can be demonstrated by?
Relief of migraine attack.