Jayne is researching headaches for a presentation she is doing for her class project. Compare and contrast the three types of headaches
a. What are the treatments?
b. What are the signs and symptoms?
c. What is the medical management?
Students' answers should include the following:
Migraines, cluster, and tension are the three types of headaches.
a. Rest, mild analgesics, and stress management for tension headaches
Drug therapy such as methysergide, topiramate, or sumatriptan for migraines
Antiemetics for nausea and vomiting
Ergotamine derivative for clusters, atenolol, gabapentin, or other drugs
b. Facial and neck muscles are contracted for a long period of time.
Changes in serotonin receptor, dilation of cerebral blood vessels, and neurochemical released from the trigeminal nerves
Triggered by vasodilating agents such as nitroglycerin, alcoholic beverages, and histamines; some suggest lower than normal serotonin
Pain varies with each from mild to disabling pain.
Migraines may have aura, premonition, or photophobia prior to headache.
c. CT for persistent headaches to rule out other disorders, tumors, or bleeds.
Assess client with H&P, family history, allergies, record of headaches, onsets, length of headaches, frequencies, etc.
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