ATI Ch 11 Headaches

Question 1

Primary HA

Answer 1

have no organic cause and include migraines, tensionlike and cluster

Question 2

Secondary HA

Answer 2

have an organic cause and need medical management

Question 3

Migraine HA sx

Answer 3

unilateral pain behind one ear or eye, photo/phonophobia, N/V, last 4-72 hours

Question 4

Migraine HA categories

Answer 4

with or without aura or atypical

Question 5

Prodromal stage (with aura)

Answer 5

awareness of findings hours to days before onset: irritability, depression, food cravings, diarrhea/constipation, and frequent urination.

Question 6

Aura stage (with aura)

Answer 6

develops in minutes or hours (can be tingling or visual disturbances)

Question 7

Second stage (with aura)

Answer 7

severa throbbing HA w/ N/V, vertigo and drowsiness

Question 8

Third stage (with aura)

Answer 8

4-72 hr, dull HA, aura may continue while pain subsides

Question 9

Recovery stage with pain and aura subsiding

Answer 9

muscle aches, activity worsens pain, stiff neck and head

Question 10

Migraine HA without aura

Answer 10

unilateral pulsating pain, 4-72 hr, often in morning

Question 11

Atypical migraine HA

Answer 11

longer than 72 hr, neurological manifestations for 7 days, neuroimaging may find infarct, does not fit other criteria

Question 12

Triptan preparations ex

Answer 12

zolmitriptan [Zomig], sumatriptan [Imitrex], eletriptan [Relpax]

Question 13

Triptan preparations function

Answer 13

vasoconstriction

Question 14

Ergotamine preparations with caffeine ex

Answer 14

Cafergot, dihydroergotamine [Migranal]

Question 15

Ergotamine preparations with caffeine function

Answer 15

narrow blood vessels and reduce inflammation

Question 16

Three R approach teaching

Answer 16

Recognize migraine manifestations.
Respond and seek provider.
Relieve pain and manifestations.

Question 17

Cluster HA sx

Answer 17

Intense, unilateral, nonthrobbing, last 30-120 min, can radiate to forehead, temple, or cheek
Occur daily around the same time for 4-12 weeks then remission 12 mths
No warning signs

Question 18

Cluster HA occurance

Answer 18

men between 20-50

Question 19

Cluster HA tx

Answer 19

same as migraine but O2 @7-10L/min may help at HA onset