Headache

Question 1

What are the categories of headache severity?

Answer 1

Mild, Moderate, Severe

Question 2

What should be assessed for in a patient with a headache?

Answer 2

Suspected intracranial haemorrhage, Potential meningococcal septicaemia

Question 3

What is the first action if there is uncertainty about a patient’s condition?

Answer 3

Treat suspected Intracranial Haemorrhage as per CPG A0711 Suspected Stroke or TIA

Question 4

What treatment should be followed for seizures in headache patients?

Answer 4

Treat seizures as per CPG A0703 Seizures

Question 5

What should be done if meningococcal infection is suspected?

Answer 5

Treat as per CPG A0706 Meningococcal Septicaemia

Question 6

What is the treatment for severe headache with suspected intracranial haemorrhage?

Answer 6

Treat pain as per Severe Headache guidelines

Question 7

Is Prochlorperazine indicated for suspected Intracranial Haemorrhage or SAH?

Answer 7

No

Question 8

What is the dosage of Paracetamol for headaches if not administered in the last 4 hours?

Answer 8

1000 mg oral

Question 9

What is the alternative dosage of Paracetamol for patients weighing less than 60 kg or those who are frail?

Answer 9

500 mg oral

Question 10

What is the dosage of Prochlorperazine for patients aged 21 years or older?

Answer 10

12.5 mg IM

Question 11

What should be administered if a patient’s severe headache remains after 15 minutes of therapy?

Answer 11

Treat as per Severe Headache guidelines

Question 12

What is the preferred method of administering Fentanyl for severe headache pain relief?

Answer 12

IV or IN (if available and no IV access) or IM (if IN not available)

Question 13

What is the aim of pain relief treatment for severe headaches?

Answer 13

Reduce pain to < 7