MDC 4 Exam 1 Rasmussen University

MDC 4 Exam 1 Rasmussen University Which Migraine medications cannot be used in a patient with cardiac diseases and why? - Triptans and Ergotamine preparations- they will cause additional vasoconstriction of the head blood vessels What does abortive therapy do for migraines? - alleviate pain after the headache starts What does preventative therapy do for migraines? - prevent a headache is it occurs more than twice a week or is severe. A patient is taking beta blocker and calcium channel blockers to prevent a migraine. What education should the nurse give to the patient regarding these medications? - Do not stop the medications What are some trigger foods for migraines? - aged cheeses, smoked meats, fermented deli meats, pickles, beer, wine, nuts (think tyramine) A patient is trying to see what things trigger their migraines. What education can the nurse provide? - Keep a food diary and determine what foods may make the migraine occur. A patient tells the nurse that they see flashing lights before their headache starts. What is this called? - Aura A aura may happen with _______ and ________. - Migraines, Seizures S/S of Migraines - Photophobia, N,V,head pain, phonophobia A patient tells their spouse who is a nurse they are having a migraine. What would the nurse tell them to do? - Go into a cool dark room and rest while sitting up. A nurse is setting up a room for a patient coming in for a seizure. What things should be included in the room? - Working suction and o2, padded bed side rails, placement of an IV when patient arrives. What should you never place in a patients mouth when they are having a seizure? - Tongue blade What is the term for a seizure lasting more than 5 minutes or having multiples in a 30 min period? - Status Epilepticus What can you give to stop a seizure? - IV benzo A patient states to the nurse before leaving the doctors office his provider will place him on phenytoin. What education should the nurse give? - Do not stop the medication- if so a seizure may occur. A patient with a seizure disorder suddenly freezes up and drops without twitching. What type of seizure is this called? - Tonic A patient with a seizure disorder suddenly freezes up for a few seconds and starts to vigorously twitch. What type of seizure is the patient having? - Tonic Clonic A person starts to have brief twitches of their left arm while in line to check out at the store. What type of seizure is this? - Myoclonic A patient suddenly looses muscle tone and drops to the floor. What type of seizure is this? - Atonic A nurse starts to see the patient in a room starting to have a seizure. What is her next move? - Place patient on left side, lower bed, support head, no restraining them, timing the episode and calling for help. After a seizure is done, what actions should the nurse take? - Assess vitals, reorient patient, clean them up if they peed or pooped, call provider.