Acute treatments are the mainstay of migraine management! 1.Take the medication as soon as possible 2.Take the appropriate dose 3.Have the medication available at the location where the patient usually has the HAs 4.Avoid analgesic overuse (>3-5 doses/ week)

**Use should be limited to patients whose HAs occur with sufficient frequency least 3/mo) or severity to warrant daily treatment**

Widened sutures Bulging fontanelle Persistent downward eye deviation (“sunsetting”) Increased head circumference Toddler/ School-age Children Lethargy or irritability HA Vomiting Papilledema Diplopia/ enlarged blind spot Abducens palsy Mild ataxia

Cushing’s Triad 1.Alterations in respirations or apnea 2.HTN 3.Bradycardia