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AHS MCPs > Adult Headache > Flashcards

Adult Headache Flashcards

1
Q

Adult Headache - S/S of vascular headache (4)

A

Throbbing
Photophobia
N/V
Diaphoresis

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2
Q

Adult Headache - Vascular headache Tx?

A

1000ml NS

Maxeran 10 mg IV/IM

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3
Q

Adult Headache - Non-vascular headache Tx?

A 
Toradol 30 mg IV/IM
Mandatory OLMC for:
Morphine 0.1 mg/kg single max of 5 mg 
or
Fentanyl 1 mcg/kg IV/IM single max of 100 mcg
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4
Q

Adult Headache - Vascular headache refractory to NS and Maxeran Tx?

A 
Toradol 30 mg IV/IM
Mandatory OLMC for:
Morphine 0.1 mg/kg single max of 5 mg 
or
Fentanyl 1 mcg/kg IV/IM single max of 100 mcg
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5
Q

Adult Headache - Maxeran indication

A

Headache suggestive of being vascular in origin

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6
Q

Adult Headache - Maxeran dose

A

10 mg in 50 mL NS over 15 min
OR
10 mg IM

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7
Q

Adult Headache - Maxeran EMS contraindications (5)

A 
Hypersensitivity
Bowel obstruction
Epilepsy
Extrapyramidal reaction
MAOI within last 14 days
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8
Q

Adult Headache - Maxeran precautions

A

Metoclopramide can cause extrapyramidal symptoms

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9
Q

Adult Headache - Toradol indication

A

Non vascular headache pain or vascular headache pain refractory to metoclopramide

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10
Q

Adult Headache - Toradol dose

A

30 mg IV/IM

half dose in patients with renal disease or over 65

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11
Q

Adult Headache - Toradol EMS contraindications

A 
Hypersensitivity 
Asthma
Renal disease
Suspected intracranial bleed
Sub-arachnoid hemorrhage 
History of GI bleeding
Pregnancy
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12
Q

Adult Headache - Benadryl indications

A

Prevention / relief of extrapyramidal reaction or agitation due to metoclopramide

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13
Q

Adult Headache - Benadryl dose

A

25 mg SIVP or deep IM

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14
Q

Adult Headache - Benadryl EMS contraindications

A

Hypersensitivity to diphenhydrAMINE or dimenhyDRINATE

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15
Q

Adult Headache - Benadryl precautions

A

Administer IM in quad

Avoid antihistamines in nursing mothers and neonates

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16
Q

Adult Headache - Fentanyl indications

A

Headache not suggestive of being vascular in origin or no relief with administration of metoclopramide

17
Q

Adult Headache - Fentanyl dose

A

Mandatory OLMC

1 mcg/kg SIVP/IM single max of 100 mcg q 5 to 250 mcg

18
Q

Adult Headache - Fentanyl EMS contraindications

A

Hypersensitivity
Myasthenia gravis
MAOI within last 14 days

19
Q

Adult Headache - Morphine indications

A

Headache not suggestive of being vascular in origin or no relief with administration of metoclopramide

20
Q

Adult Headache - Morphine dose

A

Mandatory OLMC

0.1 mg/kg SIVP/IM single max of 5 mg q 5 min to 20 mg

21
Q

Adult Headache - Morphine EMS contraindications

A

Hypersensitivity

Hypotension

AHS MCPs (91 decks)

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