A 34-year-old woman, gravida 2 para 1, at 30 weeks gestation comes to the emergency department due to a severe, unilateral headache. The patient has a history of migraine headaches, and earlier today she developed a severe, throbbing headache on the right side of the head. She drank a can of caffeinated soda and tried to rest in a dark room, but the headache has not improved. The patient has had no nausea, vomiting, or changes in vision. She has no other chronic medical conditions, takes no daily medications, and has no known drug allergies. Temperature is 37.2 C (99 F), blood pressure is 126/82 mm Hg, and pulse is 92/min. Fetal heart rate is 150/min. Neurologic examination is normal. The remainder of the physical examination is unremarkable. Urine dipstick is negative for protein. Which of the following is the most appropriate initial pharmacotherapy for this patient?

Question

A 34-year-old woman, gravida 2 para 1, at 30 weeks gestation comes to the emergency department due to a severe, unilateral headache.  The patient has a history of migraine headaches, and earlier today she developed a severe, throbbing headache on the right side of the head.  She drank a can of caffeinated soda and tried to rest in a dark room, but the headache has not improved.  The patient has had no nausea, vomiting, or changes in vision.  She has no other chronic medical conditions, takes no daily medications, and has no known drug allergies.  Temperature is 37.2 C (99 F), blood pressure is 126/82 mm Hg, and pulse is 92/min.  Fetal heart rate is 150/min.  Neurologic examination is normal.  The remainder of the physical examination is unremarkable.  Urine dipstick is negative for protein.  Which of the following is the most appropriate initial pharmacotherapy for this patient?

Quizplus · Accepted Answer

The Answer is A

A 34-Year-Old Woman, Gravida 2 Para 1, at 30 Weeks