Term
|
Definition
1. migranes
2. cluster
3. tension |
|
|
Term
| define: status migranosus: |
|
Definition
| migraine lasting longer than 72 hrs w N/V |
|
|
Term
| 4 non-pharmacologic tx for migranes: |
|
Definition
1. sleep hygiene
2. hydration
3. regular exercise
4. cognitive techniques |
|
|
Term
|
Definition
1. food: choc, etoh, aged cheese, MSG
2. environment: weather changes, strong smells, bright lights
3. behaviors: too much/too little sleep, menstruation, stress |
|
|
Term
| 3 abortive therapies for migrane HA: |
|
Definition
1. Analgesics (simple and opiod)
2. triptans
3. ergot derivitives |
|
|
Term
|
Definition
1. ibuprofen
2. naproxen
3. diclofenac
4. ASA
5. midrin
6. fiorinal
7. fioricet
8. excedrin (midrin+ASA+caffeine) |
|
|
Term
|
Definition
1. hydrocodone
2. morphine
3. oxycodone |
|
|
Term
|
Definition
|
|
Term
|
Definition
| serotonin receptor agonists; increase vasoconstriction and decrease inflamation |
|
|
Term
| when should pts take triptans for migraines: |
|
Definition
|
|
Term
| 5 contraindications to triptans: |
|
Definition
1. ischemic heart dz
2. uncontrolled HTN
3. cerebrovacular syndromes
4. ergot alkaloid wn 24h
5. MAOI wn 2wks |
|
|
Term
| triptan: gold standard injection has the fstest onset of all triptans |
|
Definition
|
|
Term
| triptan: at high doses, more effective than sumatriptan: |
|
Definition
|
|
Term
| triptan: cut dose in half for renal hepatic impairment |
|
Definition
|
|
Term
| triptan: estrogen and propanolol increase effects: |
|
Definition
|
|
Term
|
Definition
1. Suma
2. Zolmi
3. Nara
4. Riza
5. Almo
6. Frova
7. Ele |
|
|
Term
|
Definition
| serotonin receptor agonist: increases vasoconstriction |
|
|
Term
| 4 adverse effects of ergot derivitives: |
|
Definition
1. N/V
2. peripheral numbness/tingling/myalgia
3. itching
4. tachycardia/HTN |
|
|
Term
| 5 contraindications to ergot derivitives: |
|
Definition
1. PVD
2. CAD
3. HTN
4. hepatic/renal impairment
5. prego |
|
|
Term
| ergot derivitives BLACK BOX WARNING: |
|
Definition
| CYP3A4 inhibitor: azoles, protease inhibitors, macrolides |
|
|
Term
| 3 classes of ergotamine derivitives: |
|
Definition
1. dihydroergotamines: DHE45,Migranal
2. Erogotamine: Ergomar
3. Ergotamine+Caffiene: Cafergot & Migergot |
|
|
Term
| 4 tx options for migraine prophylaxis: |
|
Definition
1. B-Blockers
2. Anticonvulsants
3. Antidepressants
4. CCBs |
|
|
Term
| first line prophylaxis med for migraines: |
|
Definition
|
|
Term
| 2 anticonvulsants for migraine prophylaxis: |
|
Definition
|
|
Term
| alternative first line therapy for migraine prophylaxis: |
|
Definition
|
|
Term
| which TCA for migraine prophylaxis: |
|
Definition
|
|
Term
| which TCA for migraine prophylaxis: |
|
Definition
|
|
Term
| 2nd or 3rd line migrains prophylaxis: |
|
Definition
|
|
Term
| 4 adverse effects of verapamil (CCB) |
|
Definition
1. hypoTN
2. constipation
3. AV block
4. CHF exacerbation |
|
|
Term
| pain is unilateral, pulsating, can present w or wo aura: |
|
Definition
|
|
Term
| list 3 abortive tx and 3 preventive tx for migraines: |
|
Definition
abortive: triptans,ergot,analgesics
preventive: BB,TCAs,Anticonvulsants |
|
|
Term
| most severe type of primary HA: |
|
Definition
|
|
Term
| most severe type of primary HA: |
|
Definition
|
|
Term
| 5 triggers for cluster HA: |
|
Definition
1. stress
2. seasonal changes
3. missing meals
4. smoking
5. alcohol |
|
|
Term
| cluster HA may present w one or more of the following: |
|
Definition
1. lacrimation
2. nasal congestion/rhinorrhea
3. eyelid edema |
|
|
Term
| unilateral ice pick through the eye lasting from 45-90min: |
|
Definition
|
|
Term
| 3 abortive tx for cluster Ha: |
|
Definition
1. 10L O2
2. Triptans
3. dyhydroergotamine |
|
|
Term
| 3 preventative tx for cluster HAs: |
|
Definition
1. verapamil
2. corticosteroids
3. ergotamine |
|
|
Term
| most common form of primary HA: |
|
Definition
|
|
Term
| 3 subtypes of tension HA: |
|
Definition
1. chronic >15d/month
2. Frequent 1-14d/mo
3. infrequent: <1d/mo |
|
|
Term
| HA lasts 30minutes to 7days: |
|
Definition
|
|
Term
| tension HAs have at lest 2 of the following 3 assoc sx: |
|
Definition
1. bilateral location
2. pressing/tightening
3. mild/moderate intensity |
|
|
Term
|
Definition
1. eye strain
2. posture
3. stress
4. hunger |
|
|
Term
| 4 non-pharmacologic tx for tension HA |
|
Definition
| 1. relaxatoin
2. massage
3. |
|
|
Term
| 2 abortive tx for tension Ha |
|
Definition
1. acetominophen
2. NSAIDs |
|
|
Term
| 2 preventive tx for tension HA: |
|
Definition
|
|
Term
| bilateral, dull, headband area: |
|
Definition
|
|
Term
| 5 causes of secondary HA: |
|
Definition
1. infection
2. Tumor
3. Head injury
4. environmental changes
5. Rebound HAs |
|
|
Term
|
Definition
1. analgesics
2. alcohol
3. ceffiene
4. estrogens |
|
|
Term
| define medication overuse for HAs: |
|
Definition
| >15d/month or reg use of >1drug for >3mo to tx acute HA |
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