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Title: The client has been keeping a headache diary of her migraines. Upon review of this diary, the nurse ... Post by: sieraaa044 on Jan 24, 2018 The client has been keeping a headache diary of her migraines. Upon review of this diary, the nurse notes that the headaches are described as mild and have happened four times in the last 3 months.
The client reports that she generally just lies down until they pass but that her new job will not allow that time. She is requesting information about pain medication. What medications would the nurse expect to be prescribed? Standard Text: Select all that apply. 1. Ibuprofen 2. Acetaminophen and caffeine 3. Sumatriptan (Imitrex) 4. Ergotamine (Ergostat) 5. Amitriptyline (Elavil) Title: The client has been keeping a headache diary of her migraines. Upon review of this diary, the nurse ... Post by: dandy on Jan 24, 2018 Correct Answer: 1,2
Rationale 1: NSAIDs are often effective for the mild migraines this client experiences. Rationale 2: Acetaminophen and caffeine together are used for treatment of mild migraines. Rationale 3: Sumatriptan is a serotonin receptor agonist and is usually used only for moderate to severe migraines. Rationale 4: Ergotamine is an ergot alkaloid that is a serotonin receptor agonist. This drug is used only with moderate to severe migraines. Rationale 5: Amitriptyline is used to prevent migraines, not to reduce pain once they occur. Global Rationale: NSAIDs are often effective for the mild migraines this client experiences. Acetaminophen and caffeine together are used for treatment of mild migraines. Sumatriptan is a serotonin receptor agonist and is usually used only for moderate to severe migraines. Ergotamine is an ergot alkaloid that is a serotonin receptor agonist. This drug is used only with moderate to severe migraines. Amitriptyline is used to prevent migraines, not to reduce pain once they occur. |