NURS 6521 Week 5 Neurological Disorders Pharmacotherapy Essay Assignment Paper

Multiple disorders are incorporated into the heading neurological disorders, headaches, seizures, depression, and dementia are just a few. Headaches are a commonly encountered complaint in primary care practice.

Headaches are categorized as primary with no underlying causes and secondary with known underlying etiology. Primary headaches include migraine, tension-type, trigeminal autonomic cephalalgias, cluster headaches, and other primary disorders. Secondary headaches are attributed to disease processes, such as traumatic brain injury, substance withdrawal, cerebrovascular disorders, and other disorders. Each headache is individualized and experienced individually by the patient. Advance practice nurses must review symptoms, occurrence details, triggers, duration and frequency of headaches, current treatments, location of pain, and intensity. Details allow for specific diagnosis of the type of headaches leading to effective treatment.

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Treatment

Multiple treatments are available for mild, moderate, and severe headaches. Goals of therapy include a reduction in frequency, severity while improving quality of life and functionality. First line treatment of mild to moderate primary tension headaches include acetaminophen, aspirin, and NSAIDS. However, these treatments must be monitored and altered for any patients with renal or liver disease or insufficiency and are to be used episodic less than 2 times per week. Second line treatment for tension type headaches include antiemetics, over the counter combination agents, such as Excedrin, and prescription butalbital/caffeine/acetaminophen medication. All headache remedies should be used infrequently to decrease the chance of medication overuse headache.