Ergotamine (Cafergot)
Lidocaine (xylocaine)
Migraine Misc Information
Adjunctive medications for pain
Opioid Misc Information
100

Dosage

What is: (sometimes includes caffeine)- 1-2mg inital dose followed by 1 additional mg every 30 minutes until symptoms decrease. Max dose =6mg per attack (10 mg per week) Can be given IM and IV

100

Dosage

What is: Can be administeredd parenteral, regional, or topical. Dosage will vary depending on route

100

Treatment Examplars:

What is:- Acetamin/NSAID compo- reduce pain and inflammation

-Ergot alkaloids: ergotamine- used to treat severe throbbing headaches, will not help any other type of pain

-triptans: sumatriptan


100

Tricyclic antidepressants

What is: amitriptyline- helpful for neuropathic (nerve pain)

100

Symptoms of Opioid Withdrawal

What is: anxiety, IRRITABILITY, CHILLS, and hot flashes, joint pain, lacrimation, rhinorrhea, diaphoresis, nausea, vomiting, ABDOMINAL CRAMPS, DIARRHEA, confusion

200
Class of this medication

What is: Ergot alkaloid- serotonin 5 HT receptor agonist and dopamine/alpha adrenergic partial agonist. Causes vasoconstriction of peripheral and cranial vessels. 

Therapeutic=antimigraine

200

Class of this medication

What is: Amide- blocks pain by blocking influx of NA+ ions into the membrane surrounding nerves in a specific area. 

Therapeutic=local anesthetic

200
Migraine prevention-Beta blockers

What is: propranolol- used to PREVENT migraines, prevents dialtion of vessels in the brain

200

CNS stimulants and Antihistamines

What is: CNS Stimulants: methylphenidate-helpful to decrease sedation effects of pain medications

Antihistamine: hydroxyzine-helpful to relieve nausea and vomiting from opioid analgesia or anesthesia

200

Opioid Physical Dependency

What is: habitual use of a drug that results in WITHDRAWS S/S with abrupt d/c

300

Why is my patient taking this medication?

What is: Migraine headache treatment

300

Why is my patient taking this medication

What is: Pain management for dental procedures, minor surgeries, labor and delivery, and diagnostic procedures. Also used with spinal or epidural anesthesia. 

300

Migrain prevention with Anticonvulsants

What is:divolproex- increases GABA to suppress migraine related incidents

300

Glucocorticoids

What is: dexamethasone- steroid anti inflammatory. Decreases intracranial pressure pain, spinal cord compression pain ad any inflammatory pain process such as arthritis. 

300

Opioid Addiction

What is: a COMPULSIVE CRAVING for a drug motivated by the feelings the drug provides rather than the body's need for the drug and negatively alters the patients life

400
Major side effects

What is: Nausea/vomiting, muscle pain, paresthesia, peripheral ischemia, hypertension

400

Major side effects

What is: cardiac arrhythmias, seizure activity, and respiratory depression

400
Migraine Prevention with Tricyclic Antidepressants

What is: amitriptyline- increases serotonin and changes the way nerve signals receive pain. 

400

Bisphosphonates

What is: Etidronate-helps with bone pain from osteoporosis

400

Opioid Tolerance

What is: A common physiologic result of chronic or long term opioid treatment. 

Result: larger dose is required to maintain the same level of pain relief

Tolerance and dependence are expected with long-term opioid use

500

Special Nursing Considerations

What is: -Teratogenous- should use contraception( can cause uterine contraction, used for postpartum hemorrhage

-Current/History of MI (CAD), stroke, or peripheral vascular syndrome should not use. 

-Caution with hepatic impairment

500

Special Nursing Considerations

What is: monitor vital signs (especially hearth rhythm and respiratory status) and monitor for local reaction with topical forms

500

Migraine Prevention with Estrogens

What is: estrogen- steady estrogen levels decrease incidence of migraines in women

500

NSAIDS and Anticonvulsants

What is: NSAIDS- ibuprofen

Anticonvulsants: gabapentin

500

Apioid abstinence syndrome (opioid withdrawal)

What is: can occur in as little time as 2 weeks of opioid therapy and is a sign of physical dependence