Ha

Front 1

headache primary

Back 1

no organic cause can be identified, migrane, tension, cluster, crania arteritis

Front 2

ha-secondary

Back 2

associated with organic cause

brain tumor

aneurysm

severe htn

stroke

head injuries

Front 3

migraine

Back 3

more common in women

strong familiar tendencies

onset typically begina at pubery

Front 4

migraine trigger

Back 4

menstrual cycles

bright lights

stress depression

sleep deprivation

fatigue

overuse of certain medications

certain foods (aged cheese)

oral contraceptive

Front 5

migraine

prodome phase

Back 5

may occur hours to days b4 ha

symptoms:depression, irritability, feeling cold, food cravings, anorexia, diarrhea, constipation, increased urination

Front 6

migraine phase aura

Back 6

usually lasts less than an hour, visual phenomenon-seeing shapes, bright spots or light flashes, vision loss, pins and needle sensation in an arm or leg

speech or language problems

Front 7

migraine phase HA

Back 7

throbbing unilateral headache, severe and incapacitating, photophobia, n/v, blurred vision may last 4-72 hours

Front 8

migraine recovery

Back 8

pain gradually subsides, feelings of exhaustion, mood changes, may sleep for an extended period

Front 9

assess and diagnosis of migraine ha

Back 9

thorough hx,

dx: CT, MRI, cerebral angiography, blood work (looking for underlying cause)

Front 10

migraine prevention

Back 10

avoid known trigger, daily use of medication

Front 11

medical management of a migraine

Back 11

abortive symptomatic approach, less frequent attacks, aimed at relieving or limiting the migraine, preventive approach, frequent attacks at regular intervals

Front 12

pharma tx of migraine

Back 12

triptans (serotonin receptor agonist) sumatriptan (imatrex)

naratriptan (amerge)

rizatriptan (maxalt)

solmitriptan(zomag)

almotriptan(axert)

ergtamin

betablocker:propanolol, metropololamitriptylin hydrochlorid (Elavil)

anti-seizure med topiramate(Topamax)

Front 13

nursing mngt for migraine

Back 13

dx-pain r/t vascular changes

goal treat the acute event of the ha and prevent recurrent episodes

abortive medication, provide comfort (dark quiet room) hob at 30 degree, antiemetic for n/v

Front 14

prevention of migraines

Back 14

pt. education, regarding precipitating factors, lifestyle changes, stress reduction, and pharma dn non pharma measure f/u care

Front 15

tension ha

Back 15

emotional or physical stress, contraction of neck and scalp muscles, steady, constant feeling of pressure, usually begins in forehead temple or bck of neck

may be chronic not as severe pain

Front 16

treatment for tension ha

Back 16

local heat, massage, analgesics, muscle relaxants, antidepressants, stress reduction techniques

Front 17

cluster ha

Back 17

severe form of vascular ha, 5x more frequent in men, attacks come in cluster (1-8 daily)

excruciating pain localized in eye and orbit, radiate to face and temporal are

water of eye , nasal congestion

may be precipitated by etoh, nitrates and vasodilators and histamines