NRP507 Week 6 | Pharmacology in Health Care - University of Phoenix

NRP507 Advanced Pharmacology Week 6 Assignment Patient Case Study: Migraine

Assignment Content

Karen Myers a 35-year old, who was recently promoted to CEO of a marketing company, presents to the FNP for c/o increasing migraines. She does not have a migraine today but has a past medical history (PMH) of migraines since her early 20s and was able to manage them effectively with OTC Excedrin® Migraine, however, it is no longer effective. Her job requires her to be “at the top of her game,” and she expresses frustration since she has missed work a few times over the past month due to the migraines when she had to retreat to her dark, quiet bedroom and try to sleep it off. She describes a scintillating scotoma aura she has always experienced with her migraines. The evolution of her migraines has not changed, and she describes it as always unilateral, starting in her occipital scalp and migrating retro-orbitally. ROS: GI: c/o mild nausea with migraines but has never vomited, Neuro: See HPI; Denies red flags. -- PMH: Migraines -- Meds: Excedrin Migraine prn -- Allergies: NKDA -- VS: 124/74, P 72, R 16 -- BMI 24