A patient who has migraine headaches has begun taking timolol and 2 months after beginning this therapy reports no change in frequency of migraines. The patient's current dose is 30 mg once daily. The primary care NP should:
a. change the medication to propranolol.
b. increase the dose to 40 mg once daily.
c. obtain serum drug levels to see if the dose is therapeutic.
d. tell the patient to continue taking the timolol and return in 1 month.
D
When giving timolol for migraine prophylaxis, the provider should inform the patient that it may take several weeks for therapy to be effective. The dose should be titrated and maintained for a minimum of 3 months before the treatment is deemed a failure. It may be necessary to change to propranolol if the therapy is not effective in 1 month. The maximum dose of timolol for migraine prophylaxis is 30 mg. Drug effectiveness is determined by patient response, not serum drug levels.
You might also like to view...
The nurse who uses essential oils to provide inhalation treatments is practicing:
a. magnet therapy. b. respiratory therapy. c. herbal therapy. d. aromatherapy.
The nurse is working on parenting skills with a mother of three children. The nurse demonstrates a strategy that uses reward to increase positive behavior. This strategy is called which of the following?
1. Time out 2. Reasoning 3. Behavior modification 4. Experiencing consequences of misbehavior
When doing abdominal thrusts, pressing on the patient's ribs with your forearms could cause serious injury to the internal structures, including the liver.
Answer the following statement true (T) or false (F)
If a woman receives a kidney from her brother, what type of transplantation has occurred?