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Migraine info
- -long duration headache
- -may be genetic
- -affect women more often
- -triggers: food, sleep, stress
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3 categories of migraine
- -with aura
- -without aura
- -atypical: menstrual, cluster
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Stages of migraine
- -Prodrome: specific symptoms: food cravings, mood changes
- -Aura Phase: visual changes, flashes, diplopia
- -Headache: few hours to few days
- -Termination: intensity decreases
- -Postdrome: fatigued, irritable, muscle pain
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Interventions:
3 R's
Priority
- 3 R's: recognize, respond, relieve
- Priority is pain management
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Abortive therapy
- -alleviate pain during aura phase
- -mild migraine meds:
- -acetaminophen (Tylenol)
- -NSAID's (Motrin)
- -naproxen
- -OTC's with migraine on label
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Abortive therapy: Severe migraines
- Triptan, Zomig, Imitrex
- -take at 1st symptoms
- -report angina & tightness promptly
- -use contraceptives
- -don't take with SSRI's
- Ergotamine
- -take at start of headache
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Preventive therapy
- Propanolol
- Inderol
- Topamax
- Avoid Triggers
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Alternative therapy
- -Accupressure/accupuncture
- -herbs
- -avoid triggers
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