Your Patient Is a 32-Year-Old Female Who Is Alert but in Significant

Multiple Choice

Your patient is a 32-year-old female who is alert but in significant distress, complaining of a migraine. She has a history of migraines, describes a gradual onset of headache this morning, and is now experiencing nausea and intense throbbing pain behind her temples. She is lying on a couch in a dim room and keeps her eyes closed while talking to you in a low voice. HR = 100, BP = 148/100, RR = 12, SaO₂ = 99%. Which of the following is most appropriate in the prehospital management of this patient?

A) Morphine sulfate, IV in 2 mg increments, up to 10 mg
B) NTG SL, 0.4 mg, up to 3 tablets or a diastolic blood pressure of 80 mmHg
C) A calm, quiet environment and dim lights
D) Lorazepam, 2 mg