Pharmacology Migraines and other headaches

Match the type of headache to the description

• Severe, unilateral orbitotemporal

• Tension headache

• Associated with nervousness and anxiety

• Migraine headache

• Vertigo, N & V, photophobia

• Cluster headache

Which are true of migraine headaches? Select all that apply

• Abortive therapy is given to tx migraines

• The severity of the attack is not a factor

• The presence of nausea and vomiting is a factor

• Ketorolac is the most freq IV med

• Affects more males than females

What is the recommended initial preventative therapy for cluster headaches?

• Sumatriptan

• Verapamil

• Glucocorticoids

• Topiramate

What nonsteroidal anti-inflammatory drug (NSAID) is more commonly prescribed for the treatment of migraines?

• Naproxen

• Ibuprofen

• Aspirin

What combination is effective in treating headaches?

• Acetaminophen, aspirin, and caffeine

• Acetaminophen, NSAID's, and aspirin

• Aspirin, opioids, caffeine

• Aspirin, caffeine, Ibuprofen

What is dietary consideration is important for a client on Ubrogepant (a calcitonin gene-related peptide receptor) for migraines?

• Absorption is delayed with a high-fat meal

• Absorption is enhanced with a high-fat meal

• Absorption is enhanced with a high calorie meal

• Absorption is delayed with a high-sugar meal

What is the most common beta-adrenergic blocking agent administered for migraine headaches?

• Valproic acid

• Gabapentin

• Propranolol

• Topiramide

Which are true of administering Sumatriptan for clients with migraines? Select all that apply

• If a 2nd dose is needed you must wait 2 hours

• Monitor for hypotension

• Monitor for hypertension

• Important not to give more than 2 inject. in 2 hours

• Safe to give to pregnant clients

Which are true of Ergotamine medication given for migraines? Select all that apply

• Important to assess B/P and pulse

• The pill can be crushed, chewed, or swallowed whole

• Pregnant and lactating clients can take this medication

• Adverse effect include absence of pulse, cyanosis, and vasospasms

• Ergotamine is administered sublingual

What medication commonly used to control seizures has proven effective in prevention of migraines?

• Imipramine

• Lisinopril

• Propranolol

• Valproic acid