hiccups

  1. I work on an orthopedic floor and I have noticed that some of my patients get an annoying case of the hiccups after surgery (this can be very painful for our back surgeries). Does anyone have any remedies that would be helpful. I am open to anything and so are my patients. Thanks
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  2. 20 Comments

  3. by   Doey
    What I found that works and doesn't require any special equipment but your hands and can be done anywhere, is to apply pressure to both eyes at the same time. I usually do this for about 20 maybe 30 secs. Sometimes not even that long. I do occassionally have to repeat it but it's usually because I haven't held pressure for long enough. Hope that helps.
  4. by   jules-RN
    When I was in school, there was a patient that used to get the hiccups a lot. They ended up getting an order for Thorazine IM. It worked wonders for him.
  5. by   wildhoney
    This is really a weird one but I made it up as a small child. It alway works for me and the people I help. : ) Don't laugh.

    Take a drink of water
    Hold it in your mouth
    stare into the light for 12-15 sec. ( I guess I needed a focal point: )
    swallow.

    : )
  6. by   Agnus
    This is one I was taught by a CNA and it is about the ONLY thing that works 100% of the time for me. Now I don't know how realistic this will be for your surgery pts. (for obvious reasons) but here goes. Take a mouthfull of water. bend over from the waist with head STRAIGHT DOWN and then swallow.

    Other things that sometimes work. Cough (especially if you can time it just before a hicup.

    Hold a mouth full full of water in your mouth for a few seconds then swallow.

    Hold your breath.

    Scare/startle the person.
  7. by   NRSKarenRN
    Hiccups occur due to irritation of Phrenic nerve during surgery.

    All of the above have good results...wouldn't do the bendover trick in post op pts. Often just getting them to hold breath and attempt to turn side to side will increase thoracic pressure, decreasing nerve irritation. Intractable hicoughs respond well to PO/IM Thorazine.
  8. by   mario_ragucci
    Hi Karen, this is very interesting to me. Can you offer, in a few words, the mechanism that makes a hiccip occur at those intervals, as opposed to a "cough" responce that comes on all at once. What kind of thing is going on in those nerves.

    Thank you very much
  9. by   micro
    nope not karen.........

    know the only thing that ever worked for me was drinking upside down from a glass of water and from the opposite side of the glass that you would usually drink from.........

    my granddad taught me that one.........or was it.........

    micro

    wait maybe this belongs on nursing superstitions thread.........micro at it again.......hehehehehhehehhe
  10. by   NurseDennie
    Last I heard, the whole mechanism/trigger "thang" for hiccoughs wasn't really understood.

    Thorazine doesn't always work, but it's pretty durn good.

    I've never tried thorazine - the feedback technique with the fingertips lightly placed over my eyelids works for me. Slowing my breathing and trying to relax my diaphragm. I think that the putting the fingertips on the eyelids keeps the eyes from moving when they're closed. Why that should help, who knows?

    Love

    Dennie
  11. by   shg
    Hello Everybody,

    Something that alls gets rid of the hiccups for me is to drink a glass of water with a napkin over it. Don't really know why it works, maybe one of you do.
  12. by   aimeee
    Hospice standing orders for hiccups are:

    Reglan 10-20 mg PO Q6h prn
    or
    Phenergan 25 mg PO Q6h prn
    or
    Compazine suppository 25 mg Q4-6h prn
    or
    Thorazine 25 mg PO or PR 1-2 tabs Q4-6h prn
  13. by   CEN35
    ok forget the medications. i know this will sound a little off the wall, but it does work! :d it is something a friends garndmother told him about at one time.

    take a glass of water with a straw in it. have the person drink the water, while keeping their fingers in their ears. they need to obstruct the ear canals, so there are no pressure changes while drinking the entire glass of water.

    it's not immediate, but within a few minutes afterwards it does work! :d


    me

  14. by   Brownms46
    Same remedy with a slight variation. Hold water in your mouth..close ears...slowly swallow water keeping ears closed for about 10 secs afterwards. Hiccups gone...works for me and my daughter every time.

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