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Other: Gastrointestinal - Hiccups
Other: Gastrointestinal - Hiccups
5
Medical
Professional
09/25/2009
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Term
Intractable hiccups: DDx
 Definition

Intractable hiccups: DDx

 

- Electrolytes: hypokalemia, hyponatremia,and hypocalcemia

 

- Esophagitis: chemicals, infections

 

- Drugs: metoclopramide, sulfa, alcohol and benzodiazepines, steroids, barbiturates

 

- CNS disorders: metastases, encephalitis, multiple sclerosis, and stroke

 

- Uremia

 

- Pleural or sub-diaphragmatic disease: PNA, peritonitis, gastric distention

 

- Phrenic and vagal nerve irritation

 

- Psychogenic

 

- Idiopathic

 

source

HH new p.39
Term
Intractable hiccups: Treatment
 Definition

Intractable hiccups: Treatment

 

- Chlorpromazine (Thorazine) or Haldol

- Metoclopramide (Reglan)

- Valsalva maneuvers

- Lorazepam (ativan)

- Baclofen

 

source

HH new p.39
Term
Intractable hiccups: surgery resident handbook
 Definition

Hiccups: surgery resident handbook

 

INTRACTABLE HICCUPS*

 

Pearl: in postop patient, this may be only sign of gastric distension, which can lead to necrosis.  If persistent, KUB and NGT.

 

Differential diagnosis

Esophagitis (chemical, infectious)

 

Drugs

   Metoclopramide

   Sulfa

   Alcohol

   Steroids

   Barbiturates

 

CNS disorder (metastases, encephalitis)

Uremia

Pleural or subdiaphragmatic disease

Phrenic or vagal nerve irritation

Psychogenic

Idiopathic

 

Treatment - largely empiric and paradoxical

   Chlorpromazine (Thorazine) or Haldol

   Valsalva maneuvers

   Lorazepam (Ativan)

   Metoclopramide (Reglan)
Term

You're probably hiccuping because your diaphram is distended, likely from lots of air in your stomach?

Treatment: Try

Thorazine 10 mg by mouth every 6-8 hours as needed for hiccups.

 Definition
Term
[indication for getting transthoracic echo]
[Indication for getting ID consult]
[indication for daily blood cultures]
[Indication to send HIT lab]
[Indication to add acetate into TPN]
[Indication to use Thorazine for hiccups]
97017025 39M, sepsis, persistent fevers, persistently positive bacteremia X a few times. So we decided to get ID consult and an echo. Because of his bacteremia, daily blood cultures wre also indicated.  He also had platelts that were trending down each day, to 108 today so we sent for a HIT. He also had bicarb of 16, so we added 60mq Na acetate to his TPN. He also got a CT because of his persitent fever to look for abscess, but they found a severly distended bladder instead with hydroureter and hydronephrosis. He also got Thorazine 25mg for hiccups ovrnight (the pharmacist thought that was too high of a dose). 10/24/11
 Definition
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