Acute migraine in ER
 
👉 IVF
👉Oxygen 5-0 L for 5 minutes
👉Metoclopramide 5-10 mg IV
OR Prchlorprazine 5-10mg IM / IV
👉Magnesium 1 gm IV
👉Benadryl 12.5 to 25 mg IV for ADR
👉Ketorolac 30-60 mg IM ( max > 65 yrs 60 mg /d < 5 days Rx)
👉Triptan : SQ / Nasal / oral
Sumatriptan 6 mg SQ May repeat in 1-2 hrs (max 12mg/d)
Zolmitriptan 2.5 – 5 mg. May repeat in 2 hrs (max 10 mg/d)
OR CGRP inhibitors: Nurtec / Ubrelvy
👉Dexamethazone 10 MG IV to prevent post discharge recurrence.
👉Occipital nerve block
👉AED IV VPA Valproic acid / Keppra
👉Acetaminophen +/- Diclofenac
 

 

Needs improvement comments checking on the dosage etc. No legal value.This is just educational bite size info for the students and the doctors and medical staff

check dosage please

add, comment on it

+1
0
+1
0
+1
0
+1
0
+1
0