Problem
Instructions
For this activity, review and answer the following questions:
A. Discuss the pathophysiology of tension headache, goals for medication therapy, and first-, second-, & third-line medication therapy choice. Differentiate treatment & prophylaxis & medication choices.
B. Discuss the pathophysiology of migraine headache, diagnostic criteria, goals for medication therapy, and three medication therapy choices including the classification, route of administration, onset & duration of action, & contraindications.
C. Choose one first line & one second line medication for generalized tonic-clonic seizures. Describe the mechanism of action, dosage considerations, contraindications, and interactions.
D. Choose one first line & one second line medication for partial seizures (focal onset seizures). Describe the mechanism of action, dosage considerations, contraindications, and interactions.
E. Evaluate the decision-making process in determination of medication choice for Alzheimer's Disease. Include discussion of one medication therapy for cognitive symptoms.
F. You are caring for a patient with Parkinson's disease who indicates the dominant symptom is tremor. Evaluate the process of determining medication choice from the algorithm provided in Figure 38.2 in the textbook. Choose first-, second-, & third-line medication treatments and support your choices with the literature.
G. Find a current clinical practice guideline for treatment of bipolar disorder. Describe the first line treatment recommendations. What would be the indications for a change in the treatment plan & what would those changes be (second line treatment)?
H. Many patients are interested in using complementary and alternative medications and treatments. St. John's Wort has been used as an herbal antidepressant. Discuss any patient teaching you would provide if your patient was using St. John's Wort.
I. Selective Serotonin Reuptake Inhibitors (SSRIs) are considered to be the first line treatment option for anxiety. Analyze the medication options in this class-side effects, adverse events, therapeutic effects, and method of action.
J. The first step in planning treatment for a patient suspected of a substance use disorder is screening for the disorder. Discuss the screening tools available & how they can be used.
K. Discuss the use of buprenorphine as a first-line treatment for opioid use disorder. What are the requirements to prescribe, the route of administration, adverse effects, contraindications, and special considerations? What are the options if the patient cannot access buprenorphine?