Nursing Process For Ergot Derivatives And Triptans

Question 1

Assess

Answer 1

Hx and physical
Allergy, hx of MI or CAD, HTN
Hepatic or renal dysfunction 
Orientation, affect, reflexes 
Labs 
Vitals and ECG

Question 2

Nursing Diagnosis

Answer 2

Acute pain r/t CV and vasoconstrictive effects
Decreased cardiac output r/t CV effects
Disturbed sensory perception r/t CNS effects
Risk for injury r/t changes in peripheral sensations CNS effects
Deficient knowledge regarding drug therapy

Question 3

implementation

Answer 3

Administrate drug to relieve acute migraine not for prevention
Administrate at first sign of migraine DO NOT WAIT!
Arrange for safety precautions if CNS or visual changes occur
Provide comfort and safety measures (control triggers)
Monitor BP of pt with hx of CAD, discontinue if any sign of angina or prolonged hypertension

Question 4

Patient teaching

Answer 4

ADE
When to seek help -angina or high blood pressure
Follow up appts
Safety for CNS effects
Safety for migraines 
-vision changes 
-aura

Question 5

Evaluation

Answer 5

Pt response to drug- relief of acute migraine

Monitor CV changes, arrhythmias, HTN, CNS changes