Counselling on OTC meds Flashcards
what are steps in the 7 step system?
- who is the patient?
- has a prescriber been seen?
- assess the patients situation
- contemplate a tentative course of action
- inquire into patients health status
- state a recommendation
- provide information on proper medicine use
what is the most common form of headache?
tension headaches
what are the symptoms of migraines?
one-sided, throbbing pain
other symptoms: aura prior to migraine, light-headedness, light sensitivity and other visual disturbances
how many people experience a premonitory phase of migraine? how many experience aura phase?
premonitory: 60%
aura: 25%
when does the premonitory phase of migraine occur?
day or 2 before
what are the signs of premonitory phase of migraine?
sensitivity to light
stiffness of neck
food cravings
unexplainable mood changes
frequent yawning
constipation or diarrhea
what are the signs of migraine aura?
motor auras: slurred or jumbled speech, difficulty understanding what others say, difficulty writing, problems thinking clearly
visual auras: flashing lights, zig-zagging lines, blurred vision, blind spots that expand over time
sensory auras: numbness or tingling
T or F
triptans can be used to diagnose migraines?
true
if triptans work = likely a migraine
what is the main difference between signs of a stroke and aura phase of migraine?
stroke tends to take away sensations while migraine tends to add sensations
what are the symptoms of tension headache?
feels like pressure around the head, especially near temples
other symptoms: slow onset, full pain with pain on both sides
what are the symptoms of cluster headache?
characterised by severe sudden pain
other symptoms: restlessness, congestion, watering eyes, swelling on the forehead
what is the main difference between tension headaches and migraines?
migraines are one sided
tension headaches are on both sides
T or F
you can develop medication overuse headache even if using analgesics for non headache pain
false
MOH only appears to happen when headache pathology is present
what is by far the most common cause of acute cough in adults?
common cold
what is croup?
laryngitis is young kids
what population are we likely to dig deeper into medical history with?
older patients
When should you refer patients?
when symptoms are severe
when symptoms are minor but they persist
young/elderly
