This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient who has a history of asthma experiences three or four migraine headaches each month. ... (Read 83 times)

Mr.Thesaxman

  • Hero Member
  • *****
  • Posts: 514
on: Jul 23, 2018
A patient who has a history of asthma experiences three or four migraine headaches each month.
 
  The patient uses sumatriptan (Imitrex) as an abortive medication and has developed medication overuse headaches. The patient asks the nurse what can be done to prevent migraines. The nurse will suggest that the patient discuss which preventive medication with the provider?
  a. Botulinum toxin
  b. Meperidine (Demerol)
  c. Timolol
  d. Topiramate (Topamax)

Question 2

A young woman with migraine headaches who has recently begun taking sumatriptan (Imitrex) calls the nurse to report a sensation of chest and arm heaviness.
 
  The nurse questions the patient and determines that she feels pressure and not pain. What will the nurse do?
  a. Ask the patient about any history of hypertension or coronary artery disease.
  b. Determine whether the patient might be pregnant.
  c. Reassure the patient that this is a transient, reversible side effect of sumatriptan.
  d. Tell the patient to stop taking the medication immediately.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

nathang24

  • Sr. Member
  • ****
  • Posts: 314
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
Topiramate can be used for migraine prophylaxis, and its benefits appear equal to those of the first line beta blockers. Botulinum toxin can be used for migraine prophylaxis in patients who have 15 or more headaches a month. Meperidine may be used as abortive therapy but has addictive potential. Timolol is a beta blocker; this patient has asthma, and because beta blockers cause bronchoconstriction, these agents are not recommended.

Answer to Question 2

ANS: C
Some patients taking sumatriptan experience unpleasant chest symptoms, usually described as heavy arms or chest pressure. These symptoms are transient and are not related to heart disease. Patients experiencing angina-like pain when taking sumatriptan, as a result of coronary vasospasm, should be asked about hypertension or coronary artery disease (CAD); they should not take sumatriptan if they have a history of either of these. The symptoms this patient describes are not characteristic of pregnancy. There is no need to stop taking the medication.


Mr.Thesaxman

  • Hero Member
  • *****
  • Posts: 514
Reply #2 on: Jul 23, 2018
Thank you!


nathang24

  • Sr. Member
  • ****
  • Posts: 314
Reply #3 on: Jul 23, 2018
Always glad to help...


« previous next »
 

Did you know?

Inotropic therapy does not have a role in the treatment of most heart failure patients. These drugs can make patients feel and function better but usually do not lengthen the predicted length of their lives.

Did you know?

Eat fiber! A diet high in fiber can help lower cholesterol levels by as much as 10%.

Did you know?

Approximately 500,000 babies are born each year in the United States to teenage mothers.

Did you know?

Women are 50% to 75% more likely than men to experience an adverse drug reaction.

Did you know?

Stevens-Johnson syndrome and Toxic Epidermal Necrolysis syndrome are life-threatening reactions that can result in death. Complications include permanent blindness, dry-eye syndrome, lung damage, photophobia, asthma, chronic obstructive pulmonary disease, permanent loss of nail beds, scarring of mucous membranes, arthritis, and chronic fatigue syndrome. Many patients' pores scar shut, causing them to retain heat.

Proper placement and monitoring of an automatic blood pressure cuff will reduce the risk of injury o Proper placement and monitoring of an automatic blood pressure cuff will reduce the risk of injury o
Example of a patient’s ledger in practice management software. Example of a patient’s ledger in practice management software.
(a) A photograph of a radial immunodiffusion reaction for measurement of patient IgA concentrations. ... (a) A photograph of a radial immunodiffusion reaction for measurement of patient IgA concentrations. ...
Koplik spots in the mouth of a patient with measles. Koplik spots in the mouth of a patient with measles.
At 19 months, Merr would clearly pass the 17-month item on the Bayley Scales At 19 months, Merr would clearly pass the 17-month item on the Bayley Scales
Video: Endocytosis -Types and Phagocytosis

For a complete list of videos, visit our video library