Author Question: A patient who uses ergotamine (Ergomar) to abort migraine headaches reports nausea and vomiting with ... (Read 32 times)

michelleunicorn · **on:** Jul 23, 2018

A patient who uses ergotamine (Ergomar) to abort migraine headaches reports nausea and vomiting with the headaches. What will the nurse tell the patient?

a. Ask your provider about using another antimigraine medication.
b. Nausea and vomiting are signs of ergotamine toxicity.
c. These symptoms occur with migraine headaches and will diminish over time.
d. You should talk to your provider about an adjunct antiemetic medication.

Question 2

Over time, patients taking opioid analgesics develop tolerance to which side effects? (Select all that apply.)

a. Constipation
b. Euphoria
c. Physical dependence
d. Respiratory depression
e. Sedation

Ptupou85 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: D
Nausea and vomiting, which occur with migraines, can increase with ergotamine use, because the drug can stimulate the chemoreceptor trigger zone. Patients should be treated with metoclopramide or a phenothiazine antiemetic. It is not necessary to change antimigraine medications at this time. Nausea and vomiting do not indicate ergotamine toxicity. These symptoms will not diminish over time.

Answer to Question 2

ANS: B, D, E
With continuous use, tolerance develops to most side effects of opioids, except to constipation and physical dependence.