HA

Question 1

Pt has tight band like around head? Tx? Rescue tx?

Answer 1

tension HA

tx: NSAID, ASA
rescue: toradol, reglan

Question 2

What are secondary causes of HA?

Answer 2

VOMIT
V-ascular - hemorrhages: subarachnoid, subdural, epidural, intraparenchymal, temporal arteritis
O-ther causes - HTN, pheochromocytoma
M-eds
I-fxn - meningitis, encephalitis, sinusitis, herpes zoster
T-umor

Question 3

“Behind the eye pain” HA? What else to expect on PE? Tx?

Answer 3

cluster HA
tearing, walking around
Tx: O2 inhalation, sumatriptan

Question 4

How to tx mild migraines?

Answer 4

1) NSAIDs - naproxen

2) tylenol

Question 5

How to tx mod migraines?

Answer 5

1) NSAIDS-excedrin
2) triptans- sumitriptan, rizatriptan
3) ergotamines

Question 6

What can be given for migraines as adjuncts?

Answer 6

diphenhydramine - mild, mod, severe

dex - mod and severe

Question 7

How to tx severe migraines?

Answer 7

1) NSAIDs- ketorolac
2) triptans - sumatriptan
3) dopamine agonist - metocloparmide(Reglan), prochlorperazine, droperidol

Question 8

How to prevent cluster HA?

Answer 8

verapamil
lithium
topiramate + verapamil

Question 9

What can be used as adjunct for cluster HA?

Answer 9

glucocorticoids