Essay NU636-7B Unit 7 Discussion 2 – Migraine Herzing

NU636-7B Unit 7 Discussion 2 – Migraine Herzing

Discussion Prompt

Scenario:

• A 46-year-old white male comes in for evaluation of his migraine headache management.
• His medical history is inclusive for hypertension and a myocardial infarction at the age of 39. He was diagnosed with migraine headaches three years ago.
• Current medications include Losartan 50 mg a day, verapamil SR 100 mg at bedtime, Carvedilol 25 mg a day, Lipitor 40 mg a day, Topamax 50mg a day
• He has been admitted to the hospital for migraine management 3 times over the last 6 months.  Inpatient admissions have ranged anywhere from 3 to 6 days.  Management strategies utilized during the hospitalization include IV corticosteroids, IV Dilaudid and IV magnesium sulfate.
• BP 132/84, P 82, R 15
• Skin: pink, warm, dry
• Neuro: alert and oriented, CNs II – XII intact
• Cardio: radial and pedal pulses 2+, heart regular rate and rhythm without murmur or gallop
• Lungs: clear to auscultation
• Abdomen: large, non-distended, active bowel sounds all quadrants, non-tender to palpation

Please develop a discussion that responds to each of the following prompts.  Where appropriate your discussion needs to be supported by scholarly resources.  Be sure to include in-text citations in the context of the discussion and provide a full reference citation at the end of the discussion.