Hiccups, Hiccups and more Hiccups!!Register Today!
This is a discussion on Hiccups, Hiccups and more Hiccups!! in Hospice Nursing, part of Nursing Specialties ... Today I had a pt who has been hiccuping for days on and off. Each time they last around 2-3 hours....by Sweeshynurse Jan 25Today 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?
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- Jan 25 by SweeshynurseThis is a Hospice pt BTW
- Jan 25 by malenursegaHi 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
- Jan 25 by leslie :-Dmuch of it has to do with the etiology.
here is a page that offers alternative dxs and treatments.
the best to you and your patient.
- Jan 25 by CapeCodMermaidThorazine.
- Jan 26 by tewdlesI 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.
- Jan 30 by SweeshynurseThanks! 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.
- Jan 30 by tewdlesQuote from SweeshynurseYou 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.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.
- Feb 14 by eternalsunshineProchlorperazine and Chlorpromazine can also be used
- Feb 17 by mlynn1Thorazine or Baclofen. Both seem to work well.