NURSING > EXAM > Maryville NURS 620 Exam 1 COMPLETED (All)

Maryville NURS 620 Exam 1 COMPLETED

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Four types of headaches Traction (tension), Vascular (migraine), cluster, mixed (vascular and tension), Inflammatory How do you treat migraines? 1. Avoid triggers 2. Use biofeedback 3. Use abortive therapy... medications 4. Preventative medications What are some of the ABORTIVE migraine medications? 'Triptans' Trip the switch to abort the headache Almotriptan (Exert) Eletriptan (Relpax) Frovatriptan (Frova Sumatriptan (Imitrex) Zolmatriptan (Zomig) PREVENTATIVE/PROPHYLACTIC migraine medicines Beta-blockers "olol" Propranolol Metoprolol Timolol Atenolol Dizziness is a sensation of unsteadiness, or feeling of movement inside of the head Vertigo is Sensation of the room spinning and obects moving around the head Differential Diagnosis for dizziness would be 1. Anxiety 2. CNS disorders 3. Systemic disorders 4. Peripheral vestibular disease Differential diagnosis for dizziness and vertigo Peripheral Vestibular Disease, systemic disorder, central nervous system disorder Peripheral Vestibular Disease is There is a problem located in the labyrinth of the middle ear. Signs and symptoms include dizziness, N/V, diaphoresis, trouble balancing, vertigo, tinnitus, pressure in the ear, intermittent hearing loss, diplopia. Medications prescribed for vertigo? Meclizine Phenergan. Take these medications for a week, then taper slowly. Diamox can also be used to decrease edema in the labyrinth. Antiemetics (Compazine and Tigan) If the patient has systemic disorders, the following symptoms will occur Lightheadedness, pallor, dyspnea, tachycardia, bounding pulse, weakness,hypotension, blurred vision, headache, diaphoresis. PARESIS IS WEAKNESS Paresthesia is numbness/tingling, cramping, pain without stimulus that is felt along the nerve pathway The most common diagnosis associated with paresthesia is araterial occlusion, arteriosclerosis, nerve entrapment, neuropathy, TIA, Herpes Zoster Arterial occlusion is a medical emergency and usually requires intervention within 4-6 hours Nerve entrapment usually is caused by Edema, RA, infection, prolonged standing or sitting, tight clothing Neuropathy is usually caused by MS, DM neuropathy, collagen disease, renal failure, thyroid disease, toxins, nutritional deficiency Simple partial seizure is explained as No loss of consciousness, and usually unilateral hemisphere Complex partial seizure is explained as Consciousness is impaired, usually bilateral hemisphere Absense seizure Sudden onset of interruption of activities, such as a sudden blank stare, brief rotation of the eyes upward, stop eating while food is on the way to the mouth. Usually lasts a few seconds to 30 seconds. Tonic-clonic seizure Most frequent generalized seizure. Patient falls to the ground in a tonic state. Rigidity with respiratory inhiition, cyanosis, may bite their tongue or become incontinent with confustion or combativeness after Myclonic jerks Brief shock-like contractions, to the face, trunk, or extremities. Mostly during sleep

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