LIN Sessions: The Headache Cocktail

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Nurses Edition Commentary

Lisa Chavez, RN and Kathy Garvin, RN
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Dallas H. -

I have to disagree on diphenhydramine. While it's not EBM, I've only observed akathisia when I didn't administer diphenhydramine. The akathisia broke with IV diphenhydramine. Akathisia is traumatic for the patient and staff. Diphenhydramine is pretty benign so if it might prevent akisthesia in 8% of patients, that seems worth it

Bill W. -

Agree with above. Also, wanted to add that while I have not yet tried intranasal lidocaine for migraine, and am willing to give it a shot, in the interest of fairness to the program, on EMA March 2017 #12, Jerry and cast refute intranasal lidfocaine as effective (in the sense that it does not have lasting effect.

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