Hiccups, Hiccups and more Hiccups!!

  1. 0 Today I had a pt who has been hiccuping for days on and off. Each time they last around 2-3 hours. The doc prescribed Haldol, but no matter what, they did not stop!! Anyone else ever had this happen? Any tips or tricks?
  2. Visit  Sweeshynurse profile page

    About Sweeshynurse

    Sweeshynurse has '6' year(s) of experience and specializes in 'hospice and palliative care'. From 'Chattanooga, TN, US'; 31 Years Old; Joined Sep '12; Posts: 11; Likes: 4.

    9 Comments so far...

  3. Visit  Sweeshynurse profile page
    0
    This is a Hospice pt BTW
  4. Visit  malenursega profile page
    1
    Hi there im a hospice nusre from Ga if the pt is a cardiac or COPDer often tracheal secretions swelling or any other disturbance can cause a sort of automatic clonic spasm of the diaphragm thorazine is what we use in our e kits, also clear the secretions if possible

    hope that helped hristopher
    tewdles likes this.
  5. Visit  leslie :-D profile page
    1
    much of it has to do with the etiology.
    here is a page that offers alternative dxs and treatments.

    www.eperc.mcw.edu/EPERC/FastFactsIndex/ff_081.htm

    the best to you and your patient.

    leslie
    tewdles likes this.
  6. Visit  CapeCodMermaid profile page
    1
    Thorazine.
    tewdles likes this.
  7. Visit  tewdles profile page
    0
    I read somewhere once that, like, 25% of end stage gut/panc/liver cancers suffer from intractable hiccups in the last week of life.
    Thorazine and Haldol have been used most often in my experience.
  8. Visit  Sweeshynurse profile page
    1
    Thanks! My pt had Pancreatic CA. Unfortunately, Thorazine is not on our pharmacy formulary . But, good to know for the future. My pt did pass that evening.
    tewdles likes this.
  9. Visit  tewdles profile page
    1
    Quote from Sweeshynurse
    Thanks! My pt had Pancreatic CA. Unfortunately, Thorazine is not on our pharmacy formulary . But, good to know for the future. My pt did pass that evening.
    You might ask if it could be added for this particular symptom, which is very unpleasant for many people. Thorazine is an old and pretty inexpensive medication for hospice use.
    leslie :-D likes this.
  10. Visit  eternalsunshine profile page
    1
    Prochlorperazine and Chlorpromazine can also be used
    tewdles likes this.
  11. Visit  mlynn1 profile page
    1
    Thorazine or Baclofen. Both seem to work well.
    tewdles likes this.


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