Headache & migraine
Normal saline provides fluids lost from poor oral intake in the setting of accompanying nausea and vomiting and also helps protect kidneys with ketorolac administrations.
Magnesium may help prevent migraine and supplementation can help prevent arterial spasms.
IV magnesium sulfate has been shown to end migraine attack, decrease pain intensity and eliminate accompanying symptoms (nausea and vomiting).
Ketorolac may provide pain relief in as little as 30 minutes, and may last up to 6 hours.
Anti-nausea agents provide relief from nausea and vomiting and may help induce rest and sleep (promethazine).
B-vitamins may help prevent migraine attacks, decrease severity and disability of acute episodes.
How we can help
Provide symptomatic relief from an acute headache or migraine
Provide fluids in the case of poor oral intake from nausea
Correct nutrient deficiencies that are linked to migraine and headache formation and to subsequently prevent future episodes
Intravenous Fluid for the Treatment of Emergency Department Patients With Migraine Headache
What to Know About a Migraine Cocktail
High-flow oxygen therapy for treatment of acute migraine
Efficacy of intravenous magnesium sulfate in the treatment of acute migraine attacks
Intravenous magnesium sulfate rapidly alleviates headaches of various types
Ketorolac as a rapid and effective treatment of migraine headache
Vitamin Supplementation as Possible Prophylactic Treatment against Migraine with Aura and Menstrual Migraine