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 86 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?

Cancer has been around as long as humankind, but only in the second half of the twentieth century did the number of cancer cases explode.

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates’s recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Did you know?

Not getting enough sleep can greatly weaken the immune system. Lack of sleep makes you more likely to catch a cold, or more difficult to fight off an infection.

Did you know?

A headache when you wake up in the morning is indicative of sinusitis. Other symptoms of sinusitis can include fever, weakness, tiredness, a cough that may be more severe at night, and a runny nose or nasal congestion.

Did you know?

More than 2,500 barbiturates have been synthesized. At the height of their popularity, about 50 were marketed for human use.

Dentition, as illustrated in Knight's Sketches in Natural History Dentition, as illustrated in Knight's Sketches in Natural History
Changes in bronchioles during an asthma attack: (A) normal bronchiole and (B) in asthma attack. Changes in bronchioles during an asthma attack: (A) normal bronchiole and (B) in asthma attack.
Teaching patient discharge instructions Teaching patient discharge instructions
Sandwich or capture enzyme immunoassay for patient IgM (double capture: IgM capture, Ag capture). Sandwich or capture enzyme immunoassay for patient IgM (double capture: IgM capture, Ag capture).
Drugs Used in the Treatment of Migraine Drugs Used in the Treatment of Migraine
History History
Video: Glycolysis - Introduction to ATP and the burning of sugar

For a complete list of videos, visit our video library