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NR-499 Week 3 Discussion: Diagnosis – Migraine vs Tension Headache (GRADED A)
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NR-499 Week 3 Discussion: Diagnosis – Migraine vs Tension Headache (GRADED A)
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Diagnosis: Migraines & tension headachePhysical
Signs and
Assessment
Pathophysiology Symptoms Pharmacologic
Findings
Summary Recommendations
(subjective)
(objective)
Diagnosis A migraine is a Neurological Rizatriptan (triptans)
#1: neurologic disorder. exam
Migraines (Caple, 2018). The Tired/ fatigue Works by binding to the
pathophysiology of (premonitory Trigeminal nerve 5-Ht 1B/1D receptors on
migraines is unclear, phase) assessment the trigeminal nerve and
but it is defined as intracranial blood vessels.
repeated, episodic Nausea CT scan (Caple, 2018).
headache lasting
between 4 and 72 Vomiting MRI scan Route: oral/PO
hours.
Classifications Aura (Migraine EEG Dose: 5-10mg, max 30mg
include Aura phase) daily
with/without aura.
Women and Pain on one side Duration: 5-10mg Q2Hrs
children have an of head PRN
increased risk of (headache
having migraines. phase) Contraindications: other
Onset in young triptans, MAOIs, basilar
women seem to be Throbbing head migraine, Hx stroke or
hormonal, triggered pain TIA, known ischemic
by the cyclic heart disease, PVD,
withdrawal of Sensitivity to allergy. (Caple, 2018).
estrogen and light
progesterone. Other (Photophobia) Adverse Reactions:
possible triggers nausea, vomiting fatigue,
include strong Sensitivity to vasospasm, heart
odors, loss of sleep, sound dysrhythmias, stroke,
sunshine, high (Phonophobia) chest pain, dizziness.
altitudes and certain (Lilley & Rainforth, 2014)
foods. (Huether & (Huether &
McCance, 2012). McCance, Can cause serotonin
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