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Test 3 - Neuro- Adult Health 1 > T3 - CNS - Brain - Headaches and Seizures > Flashcards

T3 - CNS - Brain - Headaches and Seizures Flashcards

1
Q

Risk factors for migraine and cluster headaches

A 
alcohol
contraceptive - hormone
stress
tyramine foods
milk products
fatigue
meds
allergies
depression
strong odors
bright lights
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2
Q

Which type of headache has a throbbing symptom

A

migraine

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3
Q

which type of headache has a boring symptom

A

cluster

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4
Q

Which type of headache worsens with movement, and has a symptom of phonophobia and photophobia

A

migraine

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5
Q

which type of headache can have an aura

A

migraine

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6
Q

Which type of headache lasts longer than 72 hours

A

Atypical migraine

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7
Q

How long does the common migraine (no aura) last

A

4-72 hours

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8
Q

What are the 3 R’s of a migraine

A

Recognize - symptoms
Respond - call Dr
Relieve - pain and Sx

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9
Q

What meds for abortive therapy of a mild migraine?

A

NSAIDS
Acetominophen
Antiemetics

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10
Q

What meds for abortive therapy of a severe migraine?

A

Triptans
Ergotamines
Isometheptine

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11
Q

What drugs to prevent a migraine?

A

NSAIDS
Beta Blockers
Calcium channel blockers
Antiepileptic

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12
Q

What alternative therapies can be done to prevent migraines?

A

yoga
meditation
massage
exercise

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13
Q

What is the duration of a cluster headache?

A

30 min - 2 hours

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14
Q

Cluster headaches occur daily for how long?

A

4-12 weeks

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15
Q

Do you have warning for a cluster headache

A

no

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16
Q

What additional facial symptoms can accompany a cluster?

A

facial sweating
facial drooping
miosis
facial pallor

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17
Q

Which type of headache is associated with pacing, rocking and walking?

A

cluster

18
Q

Which type of headache can be treated with 100% O2

A

cluster

19
Q

Bursts of anger and excessive physical activity are associated with which type of headache?

A

cluster headache

20
Q

Which hemisphere of the brain does a generalized seizure involve?

A

both

21
Q

How long does a tonic clonic seizure last?

A

2-5 minutes

22
Q

Word that means abrupt increase in muscle tone: _________

Word that means muscle contraction and relaxation: __________

A

Tonic

Clonic

23
Q

Part of the brain involved in seizures?

A

temporal lobe

24
Q

Which type of partial seizure does the pt remain conscious, have one sided movement and an aura?

A

simple partial

25
Q

Which type of partial seizure can involve automatisms, amnesia post seizure and is more common in older adults?

A

complex partial

26
Q

What are some risk factors for seizures?

A 
metabolic disorders
acute alcohol withdrawal
electrolyte disturbances
heart disease
high fever
stroke
substance abuse
27
Q

KNOW Seizure precautions. What are they?

A 
O2 in room
Suction in room
Get an airway
Get IV access
Siderails up
No tongue blades
28
Q

Seizure management:

Turn patient on ______ and keep _______ clear.

A

side

airway

29
Q

Seizure management:
_______ restrictive clothes

Restrain movements?

What about the time?

A
  • Loosen
  • No
  • Record the beginning and ending time of the seizure
30
Q

At the end of a seizure what do you do in order: (5 things)

A
  1. take pt’s vitals
  2. perform neuro check
  3. keep pt on side
  4. allow pt to rest
  5. document seizure
31
Q

Drugs for acute seizure management:

A

lorazepam (ativan)
Diazepam (valium)
Diastat
IV Pheny

32
Q

Type of seizure that is a medical emergency:

A

status epilepticus

33
Q

How long do status epilepticus seizures last?

A

5 minutes or longer or repeated ones over course of 30 min

34
Q

What 2 do for status epilepticus: 4 steps

A
  1. Establish airway
  2. ABG’s
  3. IV push lorazepam or diazepam or rectal diazepam
  4. Loading dose of IV pheny
35
Q

WARFARIN AND PHENY?

A

NOPE

36
Q

Seizure type: sudden loss of muscle tone =

A

atonic

37
Q

Seizure type: muscle contraction and relaxation:

A

clonic

38
Q

Seizure type: person looks like they are spacing out

A

absence

39
Q

Seizure type: brief jerking and stiffening

A

hypotonic

40
Q

Seizure type: abrupt increase in muscle tone and loss of consciousness:

A

tonic

41
Q

Main triptan for migraines

A

Sumatriptan

42
Q

Sumatriptan weird side effect

A

Chest pain

Test 3 - Neuro- Adult Health 1 (7 decks)

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