migraines Flashcards
what are some symptoms of migraines
- unilateral pain, usually pulsing
- vertigo
- N/V
- photophobia
- can become chronic
what are some possible causes of migraines
- neurogenic vasodilation
- possible genetic element
- woman > men
describe the action of ergotamine tartrate
stimulates vascular smooth muscle to constrict cranial blood vessels
whats ergotamine tartrate used for
treat migraine headaches
what are some adverse effects of ergotamine tartrate
- cardiac effects
- musculoskeletal effects
- vertigo
- N/V
what are some contraindications of ergotamine tartrate
- vascular disease
- azole antifungals and macrolide antibiotics
describe the action of sumatriptan
produces cranial vascular constriction. also relieves nausea, vomiting, and photophobia
whats sumatriptan used for
treat migraine headaches
what are some adverse effects of sumatriptan
- dizziness
- anxiety
- malaise
what are some contraindications of sumatriptan
vascular disease
what are some nursing considerations for migraine drugs
- available in multiple routes: SQ, SL, PO, nasal
- give at onset of headache
- may take up to 2hrs to work
- monitor BP
- safety precautions
describe patient education for migraine drugs
- ensure patient knows how to take med
- take at onset of headache
- do not drive after taking
- may take up to 2 hours to work
what are some possible meds to take that can help prevent migraines
- beta-adrenergic blockers (propanolol)
- calcium channel blockers (verapamil)
- carboxylic acid derivatives (valproic acid)
- gamma-aminobutyric acid (gabapentin)
- ACE-1 inhibitors (enalapril)
- tricyclic antidepressants (imipramine)
