3. Migraine headaches (Select all that apply): a. Always start with an abnormal sensation. b. Cannot...

3. Migraine headaches (Select all that apply): a. Always start with an abnormal sensation. b. Cannot be treated effectively after the pain starts. c. Involve inflammation of intracranial blood vessels. d. Involve vasoconstriction of intracranial blood vessels. e. Therapy includes drugs and nonpharmacologic measures to prevent attacks. f. Therapy should start at the earliest sign of attack. 4. Which clients would Sumatriptan be contraindicated?

Expert Solution

3) migraine headaches are characterized by recurrent headaches that are moderate to severe. Typically the headaches affect one half of the head, are pulsating nature and last from 2 to 72 hours.

It always start with an abnormal sensation. it involves inflammation of intracranial blood vessels.

Thetapy includes drugs and nonpharmacologic measures to prevent attacks

Sumatriptan is contraindicated in

Ischemic coronary artery disease ( angina pectoris, history of myocardial infraction or documented silent ischaemia)=coronary artery vasospasm, including prinzemetal's angina.
History of stroke or transient ischemic attack TIA or history of hemiplegic or basilar migraine because the patients are at risk of stroke
Peripheral vascular disease
Wolff- parkinson - white syndrome or arrhythmias associated with other cardiac accessory conduction pathway disorders.
Ischemic bowel disease
Uncontrolled hypertension
Recent use( within 24 hours) of ergotamine containing medication
Concurrent administration of monoamine oxidase inhibitors MAOIs
Hypersensitivity to imitrex
Severe hepatic impairment

Nightingale answered 2 years ago

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