Migraine and Headache Flashcards
1
Q
What are the 4 types of Headaches
A
- Cluster
- Migraine
- Tension
- Sinus
2
Q
What is a cluster headache
A
- occurs in clusters
- intense pain in one eye
3
Q
What is a sinus headache
A
- occurs when nose becomes blocked
4
Q
What is Tension headache
A
- constant ache that feels like a tight-band around the head
5
Q
What is a migraine
A
- unilateral throbbing pain
- nausea + vomiting
- Photosensitivity / sound sensitivity
- Migraine with or without aura
- Has acute triggers
6
Q
What is an Aura in a migraine
A
a warning sign that a migraine is about to occur, and it can include sensory, visual, or motor disturbances
7
Q
Referral criteria for headaches
A
- Unresponsive to analgesics in 1 day
- taking combined contraceptives with migraine type headache
- recurring headache
- neck stiffness
- children under 12
- severe headache longer than 4 hours
- Severe deep pain, worse when lying down (pressure form tumour)
8
Q
OTC symptomatic treatment
A
- Analgesics (aspirin, ibuprofen, paracetamol)
- Anti-emetics for migraines
(prochlorperazine, buclizine, Migraleve Pinnk)
9
Q
When can you give Sumatriptan
A
- previously tried OTC analgesics
- there is an established pattern >= 5 migraines per year
- Previously diagnosed by doctor or pharmacist
10
Q
Sumatriptan Dose
A
- ONE 50mg tablet ASAP after migraine onset
- Do not take another one for the same attack
- Second dose can be taken 2 hours after if migraine recurs
- Max 2 in 24 hours
11
Q
Migraine/headache advice
A
- daily use of analgesics can cause headaches (overuse)
- Codeine / dihydrocodein (No more than 3 days use)
