Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Chapter 11
Unit 2: Nursing care of clients with neurosensory disorders
| Term | Definition |
|---|---|
| Headaches (Pg. 113) | Acute, chronic, temporary, life threatening -Primary (no cause, i.e. migraines, cluster) -Secondary (from organic cause; i.e. brain tumor) |
| Risk factors for migraines or cluster headaches: | Alcohol, env't allergies Intense odors, bright lights, meds Fatigue, sleep deprivation, depression, emotional/physical stress, anxiety Menstrual cycles/OC use Foods with tyramine, MSG, nitrites, milk |
| Migraine headaches (Pg. 113) -S/s | Photophobia & phonophobia (sensitive to sounds) Nausea/vomit Stress/anxiety Unilateral pain, often behind the ear/eye -health & fan hx |
| Classifying migraines: | Categories & stages -With aura -Without aura -Atypical |
| Migraine w/ aura: -Stages | Prodromal stage, aura stage, second stage, third stage |
| What is the prodromal stage of an aura? (Pg. 114) | Awareness of findings for hours to days before onset: irritability, depression, food cravings, diarrhea/constipation, frequent urination |
| What is the aura stage? | Develops over minutes to an hour -neuro findings* numb,tingles of mouth, lips, face, hands -visual disturbances; light flashes/bright spots |
| Second stage? | Severe, incapacitating, throbbing headache over several hours -nausea/vomit/drowsiness/vertigo |
| Third stage? | (4-72 hours), headache is dull |
| Migraine w/o aura: How is pain aggravated? Uni or bilateral? common symptoms? how long? | Physical activity aggravates pain Unilateral, pulsating Photo/phono phobia, nausea/vomit (one or more) 4-72 hours long, AM, PMS, stress, dehydration |
| Atypical migraine: | >72 hrs Neuro symptoms longer than 7 days Ischemic infarct may be seen on neuro imaging |
| Nursing care for migraines: (Pg. 114) env't, hob, meds | Cool, dark, quiet env't HOB ^ 30 Meds |
| Meds for mild migraines: | NSAIDs (ibuprofen, naproxen), acetaminophen (tylenol), OTC advil migraine capsules |
| Metoclopramide (Reglan) | Antiemetics for nausea/vomit |
| Meds for severe migraines: Triptan preparations | Produce a vasoconstrictive effect (Pg. 115) |
| Severe migraine meds: Ergotamine preparations | W/ caffeine (cafergot) -Narrow BVs & reduce inflammation |
| Preventive therapies for headaches: | NSAIDs w/ beta blocker, CCB, beta-adrenergic blocker or AED -check pulse |
| What are the three R's? | Recognize symptoms Respond & seek provider Relieve pain & symptoms |
| Foods w tyramine that can be triggers: | Pickles, caffeine, beer, beer/wine, aged cheese, artificial sweeteners, nuts |
| Meds that can induce migraines: | Ranitidine, estrogen, nitroglycerin, nifedipine |
| Cluster headaches: (Pg. 116) | Brief episode of intense, unilateral, non throbbing pain lasting 30 min to 2 hr -Can radiate to the forehead, temple, cheek |
| When do they occur? | Daily at about the same time for 4-12 weeks Followed by a period of remission for up to 9-12 months -No warning signs -less common than migraines |
| What seasons are cluster more frequent in? | Spring & fall |
| S/s: gender, age, eyes/nose, eyes, color, walking | Men 20-50 yrs Tearing eyes w runny nose/congestion Facial sweating drooping eyelid & eyelid edema Miosis Facial pallor Nausea/vomit Pacing, walking, sitting, rocking activities |
| Meds (Pg. 116) | See meds for migraines |
| What may be helpful at the onset of the headache? | Home oxygen therapy 7-10 l/min for 15-30 min |
Created by:
mary.scott260!
Popular Nursing sets