T3 - CNS - Brain - Headaches and Seizures

Question 1

Risk factors for migraine and cluster headaches

Answer 1

alcohol
contraceptive - hormone
stress
tyramine foods
milk products
fatigue
meds
allergies
depression
strong odors
bright lights

Question 2

Which type of headache has a throbbing symptom

Answer 2

migraine

Question 3

which type of headache has a boring symptom

Answer 3

cluster

Question 4

Which type of headache worsens with movement, and has a symptom of phonophobia and photophobia

Answer 4

migraine

Question 5

which type of headache can have an aura

Answer 5

migraine

Question 6

Which type of headache lasts longer than 72 hours

Answer 6

Atypical migraine

Question 7

How long does the common migraine (no aura) last

Answer 7

4-72 hours

Question 8

What are the 3 R’s of a migraine

Answer 8

Recognize - symptoms
Respond - call Dr
Relieve - pain and Sx

Question 9

What meds for abortive therapy of a mild migraine?

Answer 9

NSAIDS
Acetominophen
Antiemetics

Question 10

What meds for abortive therapy of a severe migraine?

Answer 10

Triptans
Ergotamines
Isometheptine

Question 11

What drugs to prevent a migraine?

Answer 11

NSAIDS
Beta Blockers
Calcium channel blockers
Antiepileptic

Question 12

What alternative therapies can be done to prevent migraines?

Answer 12

yoga
meditation
massage
exercise

Question 13

What is the duration of a cluster headache?

Answer 13

30 min - 2 hours

Question 14

Cluster headaches occur daily for how long?

Answer 14

4-12 weeks

Question 15

Do you have warning for a cluster headache

Answer 15

no

Question 16

What additional facial symptoms can accompany a cluster?

Answer 16

facial sweating
facial drooping
miosis
facial pallor

Question 17

Which type of headache is associated with pacing, rocking and walking?

Answer 17

cluster

Question 18

Which type of headache can be treated with 100% O2

Answer 18

cluster

Question 19

Bursts of anger and excessive physical activity are associated with which type of headache?

Answer 19

cluster headache

Question 20

Which hemisphere of the brain does a generalized seizure involve?

Answer 20

both

Question 21

How long does a tonic clonic seizure last?

Answer 21

2-5 minutes

Question 22

Word that means abrupt increase in muscle tone: _________

Word that means muscle contraction and relaxation: __________

Answer 22

Tonic

Clonic

Question 23

Part of the brain involved in seizures?

Answer 23

temporal lobe

Question 24

Which type of partial seizure does the pt remain conscious, have one sided movement and an aura?

Answer 24

simple partial

Question 25

Which type of partial seizure can involve automatisms, amnesia post seizure and is more common in older adults?

Answer 25

complex partial

Question 26

What are some risk factors for seizures?

Answer 26

``` metabolic disorders acute alcohol withdrawal electrolyte disturbances heart disease high fever stroke substance abuse ```

Question 27

KNOW Seizure precautions. What are they?

Answer 27

``` O2 in room Suction in room Get an airway Get IV access Siderails up No tongue blades ```

Question 28

Seizure management: | Turn patient on ______ and keep _______ clear.

Answer 28

side | airway

Question 29

Seizure management: _______ restrictive clothes Restrain movements? What about the time?

Answer 29

- Loosen - No - Record the beginning and ending time of the seizure

Question 30

At the end of a seizure what do you do in order: (5 things)

Answer 30

1. take pt's vitals 2. perform neuro check 3. keep pt on side 4. allow pt to rest 5. document seizure

Question 31

Drugs for acute seizure management:

Answer 31

lorazepam (ativan) Diazepam (valium) Diastat IV Pheny

Question 32

Type of seizure that is a medical emergency:

Answer 32

status epilepticus

Question 33

How long do status epilepticus seizures last?

Answer 33

5 minutes or longer or repeated ones over course of 30 min

Question 34

What 2 do for status epilepticus: 4 steps

Answer 34

1. Establish airway 2. ABG's 3. IV push lorazepam or diazepam or rectal diazepam 4. Loading dose of IV pheny

Question 35

WARFARIN AND PHENY?

Answer 35

NOPE

Question 36

Seizure type: sudden loss of muscle tone =

Answer 36

atonic

Question 37

Seizure type: muscle contraction and relaxation:

Answer 37

clonic

Question 38

Seizure type: person looks like they are spacing out

Answer 38

absence

Question 39

Seizure type: brief jerking and stiffening

Answer 39

hypotonic

Question 40

Seizure type: abrupt increase in muscle tone and loss of consciousness:

Answer 40

tonic

Question 41

Main triptan for migraines

Answer 41

Sumatriptan

Question 42

Sumatriptan weird side effect

Answer 42

Chest pain