NR 508 PHARMACOLOGY; Migraine Headache Case Study

NR 508 PHARMACOLOGY; Migraine Headache Case Study. NR 508 Advanced Pharmacology. McCance & Huether (2014) and Leik (2014) state that migraine headaches are the most common compliant presented in the primary care office or in the urgent care setting. Because of the limits required for the power point presentation, this author decided to discuss this topic. Fenstermacher & Hudson (2016) state characteristics most patients have a family history of H/A and that symptoms rarely start after 50 years of age. Symptoms for migraine without aura are: (1) lasts 4 to 72 hours (2) unilateral, pulsating, moderate-to-severe intensity, worsens with activity (3) at least one of the following during H/A: nausea, vomiting, photophobia, phonophobia (4) H&P and neuro examinations do not suggest underlying organic disease. To differentiate with Migraine with aura include the above symptoms are symptoms of aura that are transient and reversible symptoms that gradually develop over 5 to 20 minutes and last 60 minutes that include (a) visual: flickering lights, spots, lines, (b) numbness, (c) speech disturbance, (d)brainstem: diplopia, vertigo, tinnitus. McCance & Huether (2014) and Leik (2014) state that the pain is usually located behind one eye that usually begins in the temporal areas that are associated with vascular changes in the cranial arteries. Mayans & Walling (2018) states more women (18-26%) have these headaches when compared to men (9%). The Mnemonic for diagnosis of a migraine is POUND (p 245). Pulsating type of headache One day duration (4- 72 hours if untreated or treated ineffectively) Unilateral Headache Nausea or vomit Disabling headache