headaches due to VA

may i ask anyone who has any idea of what are the nursing care plan of headache due to vehicular accident...thanks

[dr_simran]

Hello Dear,
The post-traumatic headache syndrome is a very common sequelae following injuries to the head or neck, and often occurs after rear-end auto accidents.  The headaches are usually self-limited and resolve quickly, within days to several weeks.
Medication is the cornerstone of treatment, as it is consistently the most effective therapeutic modality.  abortive and/or preventive medication are given.  In the first three weeks of the headaches, we usually only utilize abortive medication.  If the headaches persist beyond this point, and remain moderate or severe, preventive medicine should be instituted Typical anti-inflammatories include aspirin, ibuprofen, and naproxen.  Muscle relaxants such as Flexeril or Robaxin are often helpful,
The primary migraine abortives are as follows:  Extra Strength Excedrin, Aspirin Free Excedrin, naproxen (Naprosyn or Anaprox), ibuprofen (Motrin), ketorolac (Toradol), Midrin, Norgesic Forte, butalbital compounds (such as fiorinal, Fioricet, Esgic, Fiorinal with codeine, and Phrenilin), ergots (such as cafergot pills or suppositories and Ergostat sublingual tablets), DHE injections or nasal spray, sumatriptan injections, corticosteroids, narcotics, and sedatives.
Most patients with migraine, and the majority of patients with post-traumatic migraine, simply require abortive medications for their headaches.  However, if the migraines are frequent and/or severe, we need to progress to daily preventive therapy.
The most commonly employed preventives for the post-traumatic headaches are the antidepressants, particularly amitriptyline (Elavil) or nortriptyline (Pamelor), and the beta blockers.All these have to be taken with the physician’s recommendation.Rest andnutritious diet are necessary.
Refer http://www.headachedrugs.com/archives/post_traumatic.html
Best