Book Ch. 38

Question 1

sumatriptan is used to

Answer 1

abort a migraine headache and associated manifestations (NV) after it begins by causing cranial artery vasoconstriction

Question 2

anticonvulsant for migraines

Answer 2

divalproex

Question 3

migraine meds prevent what

Answer 3

inflammation and dilation of the intracranial bvs, thereby relieving migraine pain

Question 4

migraine meds - aspirin like meds

2

Answer 4

1. acetaminophen

2. nsaids - aspirin, naproxen

Question 5

migraine meds - serotonin receptor agonists/

1

Answer 5

sumatriptan - PO,sub q, inhalation, transdermal

Question 6

contraindicated in clients who have a first degree heart block

Answer 6

propranolol

Question 7

serotonin receptor agonists/triptants complications

4

Answer 7

1. chest pressure - heave arms, chest tightness
2. coronary artery vasospasm/angina
3. dizziness/vertigo
4. teratogenesis

Question 8

tyramine

Answer 8

avoid - can trigger some migraines

Question 9

anticonvulsant - divalproex complication

4

Answer 9

1. gi upset
2. NTD
3. hepatitis
4. pancreatitis

Question 10

beta blockers - propranolol complications

5

Answer 10

1. extreme tiredness, fatigue
2. depression
3. asthma exacerbation
4. bradycardia
5. hypotension

Question 11

ergot alkaloids - ergotamine and dihydroergotamine complications
4

Answer 11

1. GI upset
2. acute or chronic toxicity - ergotism (muscle pain, paresthesias in fingers/toes, peripheral ischemia
3. physical dependence
4. fetal harm or abortion

Question 12

spinal anesthesia - monitor for and maintain what

3

Answer 12

1. hematoma at insertion site
2. monitor for urinary retention
3. maintain bed rest for 12 hrs following procedure

Question 13

can cause pancreatitis

Answer 13

anticonvulsant - divalproex

Question 14

first line tx for migraine headaches include

2

Answer 14

1. nonspecific analgesics - aspirin like meds

2. migraine specific meds - serotonin receptor agonists aka triptans

Question 15

beta blocker for migraines

Answer 15

propranolol

Question 16

lidocaine complications

6

Answer 16

1. CNS excitation - seizure, resp. depression
2. hypotension
3. cardiosuppression
4. allergic reactions
5. spinal headache
6. urinary retention

Question 17

second line tx for migraines

Answer 17

ergot alkaloid meds

Question 18

when is ergotamine used

Answer 18

at onset of migraine; should not be used prophylactic because of its dependency factor

Question 19

sumatriptan - a/e

4

Answer 19

1. chest and arm heaviness
2. angina
3. dizziness
4. vertigo

Question 20

aspirin-like drugs complications

3

Answer 20

1. BMS - monitor CBC, including plts
2. GI upset
3. MI or stroke

Question 21

migraine meds - ergot alkaloids

2

Answer 21

1. ergotamine

2. dihydroergotamine