Headaches Flashcards
(35 cards)
Tension H/a: characteristics
- most common
- Considered ‘normal’
Episodic vs Chronic Tension H/a
> or
Tension H/a: presentation
- band of tension around head
- constant, dull, throbbing ache
- sore neck and shoulder muscles
Tension H/a: TX medication
Analgesics (OTC pain killers)(Cause rebound h.a) Tricyclic Antidepressents (prevent chronic h/a)
Migraine: characteristics
A throbbing or pulsing one sided episodic h/a
Occurs more in younger population
Accompanying sx
Migraine: causes
Unknown
Poss blood vessels become inflamed (neurovascular h.a)
Heredity
Migraine: phases
- predrome
- aura
- migraine
- postdrome
Migraine: predrome
- occurs hours to days before
- changes in psychology and changes in neurological
Migraine: aura
- occurs 5- 20 minutes before
- variety of emotional and visual changes
- parathesis second most common
Migraine: Migraine
- intense throbbing or pulsating worse with movement and activity
- often debilitating
- typically begin in one place and spread
- last for 2 hours up to days
- accompanying sx
Migraine: postdrome
- a feeling of tiredness and exhaustion after H/a
Migraine: common vs classic vs complicated
without aura vs with aura vs with worse than aura
Migraine: ophthalmoplegica
Intense pain behind eye
Vomiting
Eyelid begins to droop
Migraine: status
lasts longer than 72 hours
May require hospitalization
Migraine: tx stratagies
Prophylactic: prevent or reduce migraines
Abortive: shorten current migraines
Migraine: tx- non-pharmalogical
Identify and reduce triggers of migraine
State of brain sensitivity to change
Migraine: prophylactic tx
- Frequent H/a (3 or more a month)
- Don’t respond to abortive tx
- starts off as monotherapy
Migraine: Prophylactic medication
- beta blockers
- tricyclic antidepressants
- neuromodulaters/ anti-siezure
Migraine; Betablockers
most common tx
regulate blood pressure by controlling heart rate
(Don’t use for diabetics or asthma)
Migraine: Trycyclic antidepressants
- block reabsorbtion of serotonin
- take 2-3 weeks to work
Migraine: Neuromodulaters/anti-siezure
Valproic Acid
Gabapetin
Migraines: Abortive tx
- OTC can work
- dark room and little stimulation
Migraine: analgesics
- tx symptoms of migraine
- take at first sign
- best for infrequent migraines or breakthrough h/a (when they occur despite prophylactic medication)
Migraine: Ergot alkaloids
- promote vascularconstriction and prevent vascular dilation
- take at first sign, not as effective after
