When would you call for a rapid response? ANSWER When a patient has exhibited signs
of deterioration but is still pulse and breathing
If you were a nurse what specific actions would you take during a rapid response while
waiting for the team to arrive? ANSWER Stay with the patient assess and reassess vitals
and ABCs. Call a code blue if the patient becomes apneic or pulseless.
When would you call code blue? - ANSWER When patient is not breathing and has no
pulse
When do you call for help? - ANSWER When you need help but the patient is stable. For
example, patient is on floor and you need another set of hands.
Can migraines be genetic? - ANSWER Yes
What are clusters caused by? - ANSWER An overactive and enlarged hypothalamus
Are migraines more common in males or females? - ANSWER Females
Are clusters more common in males or females? - ANSWER Males
Describe the symptoms of a migraine. - ANSWER -Unilateral
- Throbbing pain
-Worse with movement
-Photophobia
-N&V
,- Can last from 4-72 hours
Describe the symptoms of a cluster headache. - ANSWER - Unilateral
- Nonthrobbing, excruciating
- Felt deep around eye
- Rhinorrhea
-Occurs at same time of day and on routine basis
-Facial edema
- Typically in spring and fall
Where would you place your patient who is having a migraine? - ANSWER A dark, quiet
room and supine
A few migraine triggers - ANSWER Caffeine
Red wine
Stress
MSG
Tyramine
Cluster triggers - ANSWER Typically lifestyle precipitated
-Stress, anger, anxiety
May vary from patient to patient
What does an abortive treatment mean? - ANSWER Stop it before it starts (for the most
part, stop at aura)
What is the problem with Triptan medications? - ANSWER They can cause ischemia in
the heart which can cause a heart attack
, What are some medications that can be prescribed for patients who receive migraines
almost daily? - ANSWER Beta blockers
Calcium channel blockers
Antiepileptics
When on Triptans you should _______ - ANSWER Report chest pain and use birth control
to prevent birth defects
What are common side effects of Triptans? - ANSWER numbness, tingling, flushing, hot
sensation
What is a Percutaneous stereoatctic rhizotomy (PSR)? - ANSWER A surgical way to get
rid of chronic cluster headaches. It is a major brain surgery and is considered a last
resort.
What cranial nerve does the PSR surgery deal with? - ANSWER Cranial nerve #5
Tonic Clonic seizure - ANSWER Muscles + Jerking. Used to be called a Grand Mal
Seizure.
Who normally experiences an absent seizure? - ANSWER Children
What is a Myoclonic seuzure? - ANSWER Bilateral or unilateral extremities
What does posturing tell us about a seizure? - ANSWER What part of the brain is being
affected
What is a seizure? - ANSWER The misfiring of neurons in the brain
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