Shared Flashcard Set

Details

pharmacology
migraine, antipsychotic, antidepressants, bipolar disorder, sedative, anxiety
29
Nursing
Undergraduate 1
10/25/2012

Additional Nursing Flashcards

 


 

Cards

Term

migraine headache 

characteristics

Definition
  • moderate to severe
  • nausea & vomiting
  • photophobia/phonophobia
  • family hx
Term

types of migraine

 

Definition

migraine with aura

 

migraine without aura

Term
classic migraine
Definition

aka migraine with aura

headache is preceded by visual symptoms (flashesof light, a blank area in the field of vision, zigzag patterns)

Term
common migraine
Definition

aka migraine without aura

 

more common affecting 70% of migraineurs

Term
secondary to identifiable causes of headache
Definition

HTN

Hyperthyroidism

tumor

ENT infection

Term

HEADACHES

no identifiable cause 

Definition

migraine

tension

cluster

Term

Migraine headache

pathophysiology

Definition

dilation of intracranial blood vessels

 

inflammation of intracranial blood vessels

 

 

Term

migraine 

non specific analgesic drugs used in

Abortive therapy

Definition

 

- opioids

-NSAIDs

 

 

Term
migraine-specific ana;gesics used in abortive therapy
Definition

- ERGOTAMINE

-SUMATRIPTAN

Term
drugs used on mild-moderate headache
Definition
- aspirin like drugs
Term
drugs used ib moderate-severe migraine headache
Definition

-migraine specific drugs

-opioid analgesics

Term
ergotamine mechanism of action
Definition
in cranial arteries, ergotamine acts directly to promote constriction and reduce the amplitude of pulsations. It also affects blood flow by depressing vasomotor center
Term
therapeutic effects of ergotamine
Definition

use to stop ongoing migraine attack

 

use to tx cluster headache

 

should not be taken daily on a long term basis due to risk for dependency

Term
Pharmakokinetics of Ergotamine
Definition

-oral

-sublingual

-rectal

-inhalation

Term
adverse effects of ergotamine
Definition

nausea & vomiting

weakness in the legs

myalgia

numbness & tingling

angina-like pain

tachycardia and bradycardia

Term
toxicity of ergotamine
Definition

ergotism 

OD can also cause ischemia secondary to constriction of peripheral arteries and arterioles;

extremities become cold, pale and numb, mm pain develops; gangrene may eventually result

Term

triptans

HIV meds

 antifungals

erithromycin

grapefruit

Definition
drug interactions with Ergotamine
Term

Sumatriptan (Imitrex)

MOA

Definition

causes Vasoconstriction

diminishes pervascular inflammation

Term
Administration of Sumatriptan (Imitrex)
Definition

Oral

intranasal

SubQ

Term

Adverse effects of

Sumatriptan (Imitrex)

Definition

chest symptoms

coronary vasospasm

teratogenesis

Term

drug interactions of Sumatriptan (Imitrex)

 

Definition

Ergotamine

MAOi

Term
Contraindications of Sumatriptan (Imitrex)
Definition

CAD

Uncontrolled HTN

Term

3 types of symptoms of Schizoprenia

 

Definition

positive symptoms

negative symptoms

cognitive symptoms

Term

Schizo

positive symptoms

Definition
can be viewed as an exageration or distortion of normal function
Term

schizo

negative symptoms

Definition
loss or diminution of normal functions
Term

schizo

cognitive symptoms

Definition
disordered thinking, reduce ability to focus attention and prominent learning and memory difficulties
Term

Schizo

Acute Episodes

Definition

delusions (fixed fall beliefs) 

hallucinations

Term

Schizo

Residual symptoms

Definition

suspiciousness

poor anxiety management

diminished judgement, insight, motivation and capacity for self care

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