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Pro Pract- Exam 3
Lewis Ch 59
18
Nursing
Undergraduate 3
03/13/2011

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Term
Tension-type HA
Definition
most common type of headache, is characterized by its bilateral location and pressing/tightening quality. Usually mild or moderate in intensity and not aggravated by physical activity. (either infrequent episodic, frequent episodic, or chronic.) Clinical manifestations: N&V due to sensitivty to light (photophobia) or sound (phonophobia)
Term
Migraine HA
Definition
is recurring HA characterized by unilateral or bilateral throbbing pain, a triggering even or factor, strong family history, and manifestations associated with neurologic or autonomic nervous system dysfunction. CM: generalized edema, irritability, pallor, N&V, and sweating. Diagnosis is usually made from the history.
Term
Serotonin
Definition
neurotransmitter involved in mood, memory, sleep, temperature, and muscle function. (pathways are affected during migraines)
Term
oligemia
Definition
diminised cerebral blood flow (happens during migraines)
Term
aura
Definition
sensation of light and warmth associated with "spreading depression" wave of oligemia
Term
common migraine
Definition
those WITHOUT an aura (most common type)
Term
classic migraine
Definition
those WITH an aura
Term
Cluster HA (most severe type of HA)
Definition
rare form of HA; involve repeated headaches that can occur for weeks to months at a time, followed by periods of remission. CM: pain is sharp and stabbing, which is in contrast to the pulsing pain of a migraine HA.
Term
nonopioid analgesic (aspirin, acetaminophen) used alone or in combination with a sedative, muscle relaxant, tranquilizer, or codeine.
Definition
Drug treatment for tension-type HA's
Term
(may be solved with just aspirin or acetaminophen) or triptans; preventative treatments may be used (topiramate [topamax] watch for side effects) also B-andrenergic blockers; tricyclic antidepressants; SSRI's; calcium channel blockers; divalproex; clonidine; and thiazides.
Definition
Drug treatment for a migraine HA
Term
drugs are not as useful as with other types of HA's; prophylactic drugs such as: verapamil, lithium, ergotamine, divalproex, or NSAID's.
Definition
Drug treatment for cluster HA's
Term
seizure
Definition
a paroxysmal, uncontrolled electrical discharge of the neurons in the brain that interrupts normal function.
Term
epilepsy
Definition
condition in which a person has spontaneously recurring seizures caused by chronic underlying condition.
Term
aural phase of a seizure
Definition
sensory warning
Term
ictal phase of a seizure
Definition
full seizure
Term
the postictal phase of a seizure
Definition
the period of recovery after the seizure
Term
Generalized seizures
Definition
involved both sides of the brain and are characterized by bilateral synchronous epileptic discharges in the brain from the onset of the seizure; there is no warning or aura because the entire brain is affective.
Term
drugs used in collaborative care for intracranial pressure
Definition
mannitol,decadron,Zantac, Prilosec, Dilantin, Nembutol
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