Question

Joseph is a 6-year-old with a 2-month history of throbbing headache associated with nausea absent of vomiting, positive for photophobia and noise sensitivity lasting 4-5hrs. He has had 6 attacks. His physical examination is unremarkable. The PNP knows the first-line treatment for acute migraine in children is?

1) ibuprofen
2) topiramate
3) hydrocortisone
4) sumatriptan

Answer 1

The first-line treatment for acute migraine in children like Joseph, who is 6-years-old, is ibuprofen. Ibuprofen is used to relieve pain and inflammation from migraines. Other options such as topiramate, hydrocortisone, or sumatriptan are not first-line treatments.

Step-by-step explanation:

Joseph, a 6-year-old child who has been experiencing a series of migraine attacks, including symptoms like throbbing headache, nausea, photophobia, and noise sensitivity, can be treated for his acute migraines with over-the-counter analgesics, as pediatric cases do not typically start with migraine-specific drugs or corticosteroids, unless recommended by a healthcare professional. The first-line treatment option for acute migraine in children is indeed ibuprofen. This medication is effective in relieving pain and inflammation that are associated with migraines. Other treatment options, like topiramate, hydrocortisone, and sumatriptan, are not considered first-line treatments for acute migraines in young children by standard medical guidelines.