18 results
Acute Treatment of Migraine

- BWH Medicine Chiefs @BrighamChiefs

#Migraine #Treatment #management #neurology #headache #medications
Acute Treatment ... of Migraine - ... #Treatment #management ... #neurology #headache ... #medications
Acute Treatment of Migraine
Mild Attacks: NSAIDs, Simple Analgesics
Moderate/Severe Attacks: Triptans, Ditans, Gepants, Ergots
Non-pharmacologic Treatment: Neuromodulation, Rest,
Acute Treatment ... of Migraine Mild ... Rest, Hydration, Meditation ... neudrawlogy #Migraine ... #management #neurology
Pharmacotherapy for Migraine Prophylaxis 

Who is indicated for migraine prophylaxis? Patients who experience more than 3
indicated for migraine ... appropriate acute treatment ... #Prophylaxis #Medications ... #Pharmacology #Management ... #Neurology #PrimaryCare
Acute ED Migraine Therapy and Preventative Therapy Algorithm:
Acute migraine
 • IV NS IL bolus then infusion
20 mg/min -> Neurology ... Preventative Medications ... #management #algorithm ... #treatment #prevention ... #prophylaxis #neurology
Pharmacological Treatment of Hepatorenal Syndrome (HRS)

Midodrine - Alpha agonist incr blood pressure incr renal perfusion pressure
Pharmacological Treatment ... of Hepatorenal Syndrome ... #Nephrology #Management ... #Pharmacology #Medications ... #Treatment
Triptan Selection - Migraine Management
Choosing triptans:
 • Reponse to given triptan do not predict to others
Management Choosing ... month to avoid medication-overuse ... #Management #treatment ... #neurology #pharmacology ... selection #headache #neurology
Management of Serotonin Syndrome
Identify and stop all serotoninergic medications
 • Avoid inadvertent Rx of serotoninergic meds
Management of Serotonin ... Syndrome Identify ... serotoninergic medications ... IV fluids for volume ... #Management #treatment
Migraine Prevention and Prophylaxis
Who to Consider: 
 • ≥ 4 significant headaches or migraine attacks/month
 •
treatments • ... Preventative Medications ... #treatment #prevention ... #prophylaxis #neurology ... #headache #management
Fever vs Hyperthermia
Fever:
 • Regulated in the hypothalamic thermoregulatory center
 • "Set point" raised by prostaglandin
Neuroleptic malignant syndrome ... ; Serotonin syndrome ... loss - Cool fluids ... #Hyperthermia #comparison ... #diagnosis #management
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 • If low preload →
Injury (AKI) - Management ... preload → IV Fluids ... • Hepatorenal syndrome ... → No specific treatment ... #management