Drug Class - Vascular Headache Suppressants

Front 1

Name 4 vascular headache suppressants?

Back 1

alpha-adrenergic blockers
beta blockers
5 HT1 agonists
miscellaneous

Front 2

Name 2 alpha-adrenergic blockers?

Back 2

dihydroergotamine
ergotamine

Front 3

Name 2 beta blockers?

Back 3

propranolol
timolol

Front 4

Name 7 HT1 agonists?

Back 4

almotriptan
eletriptan
frovatriptan
naratriptan
rizatriptan
sumatriptan
zolmitriptan

Front 5

Name 4 miscellaneous vascular headache suppressants?

Back 5

divalproex sodium
valproate sodium
valproic acid
verapamil

Front 6

Vascular headache suppressants are used for acute treatment of vascular headaches. Three types are?

Back 6

migraine
cluster headaches
migraine variants

Front 7

Ergot derivatives (ergotamine, dihydroergotamine)directly stimulate 1______-adrenergic and 2______ receptors, producing vascular smooth muscle (vasoconstriction, vasodilation).

Back 7

1 alpha
2 serotonergic
vasoconstriction

Front 8

Almotriptan, frovatriptan, naratriptan, risatriptan, sumatriptan, and zolmitriptan produce (vasoconstriction, vasodilation) by acting as serotonin (5-HT1) agonists.

Back 8

vasoconstriction

Front 9

Contraindications?
Avoid using these agents in patients with ischemic _____ disease.

Back 9

cardiovascular

Front 10

Precautions?
Use cautiously in patients with a history of or risk for _____ disease.

Back 10

cardiovascular

Front 11

Interactions?
Avoid concurrent use of ____ derivative agents with serotonin agonist agents; see also individual agents.

Back 11

ergot

Front 12

ASSESSMENT:
Assess what 8 characteristics of pain during a migraine attack.

Back 12

location
intensity
duration
associated symptoms (photophobia, phonophobia, nausea, vomiting)

Front 13

List 2 potential nursing diagnoses?

Back 13

pain, acute
knowledge, deficient, related
to disease processes and
medication regimen

Front 14

IMPLEMENTATION:
Medication should be administered at the first sign of a ______.

Back 14

headache

Front 15

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.

Back 15

okay

Front 16

Advise patient that lying down in a darkened room following medication administration may further help relieve headache.

Back 16

okay

Front 17

May cause dizziness or drowsiness. Caution patient to avoid driving or other activities requiring alertness until response to medication is known.

Back 17

okay

Front 18

Advise patient to avoid alcohol, which aggravates headaches.

Back 18

okay

Front 19

EVALUATION:
Effectiveness of therapy can be demonstrated by?

Back 19

Relief of migraine attack.