b Often occurs at same time of day and on same side behind
one eye.
c
Described as "knifelike" or "like a hot poker in the eye."
d Pain is accompanied by tugging, pulling, or pressing
sensation behind one eye (unilateral).
e Other signs include nasal congestion, tearing; may have one
"bloodshot" eye.
f Duration ranges from few minutes to hours; rarely more than
2 hours; usual range is 30-90 minutes.
g Commonly precipitated by ingesting alcohol, oversleeping or
napping, but may occur without these triggers.
3 Treatment. Acetaminophen or Aminosalicylic Acid (ASA) given
as soon as the headache begins.
(c) Hypertensive headache. These headaches are related to high
blood pressure. They may be muscular contraction type or vascular.
1 Etiology. Increased blood pressure.
2 Signs and symptoms.
a Throbbing, suddenly increasing in intensity, frequently
located at top of head; may be generalized.
b Elevated blood pressure.
3 Treatment. Give mild analgesia, aspirin, or acetaminophen.
Also involves lowering the patient's blood pressure. Inform the patient to:
a Decrease stress, stress-producing situations.
b Maintain minimal ideal body weight.
c
Rest if headache begins.
d Limit use of nicotine and caffeine (they cause
vasoconstriction and heart stimulation).
MD0 550
2-4