Diferencia entre revisiones de «Hiccups»
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==Background== | ==Background== | ||
*Usually initiated by gastric distention from food, carbonated beverage, or air | *Usually initiated by gastric distention from food, carbonated beverage, or air | ||
*Also known as Singultus | |||
==Workup== | ==Workup== | ||
Revisión del 18:21 7 ene 2012
Background
- Usually initiated by gastric distention from food, carbonated beverage, or air
- Also known as Singultus
Workup
- Auditory canal exam (foreign body against TM can trigger hiccups)
- CXR
Treatment
- Physical Maneuvers (stimulating pharynx blocks the vagal portion of the reflex arc)
- Remove foreign body from ear
- Swallow teaspoon of sugar
- Sip ice water
- Drink water quickly
- Meds
- Chlorpromazine 25–50mg IV; 25–50mg PO TID
- Metoclopramide 10mg IV or IM; 10–20mg PO TID x 10d
Source
Tintinalli