Re: [新聞] 菜鳥醫師抽腹水 醫病缺乏互信引不安
※ 引述《JoyceMyLove (我愛小蘋果)》之銘言：
這篇應該M起來的
我都是用下面提到的一個方式
用壓舌板 攪一攪oropharynx 引發"輕微" 嘔吐反應
之後就ok了
(小心別被吐到 ^^;;;)
再不行 就用primperan了
: 附註 : micromedex不是每個人或是醫院都有買liscense 所以我把網址丟上來
: 大家也不見得連的上
: 簡單貼一點重點上來囉
: Simple, mechanical techniques should be tried before attempting drug therapy
: for intractable hiccups ........
: holding your breath; slowly drinking a glass of water; pressure on eyeballs;
: swallowing; irritation of nasal mucosa to produce sneezing; mustard plaster,
: ice bag, ethyl chloride spray, or ether applied to the epigastrium;
: pressure over carotid sinus between thumb and forefinger for 1 minute,
: grasping the artery at the midpoint of the anterior border of the
: sternocleidomastoid; strong digital pressure over the phrenic nerves in their
: course behind the sternoclavicular points; forceable traction of the tongue;
: induction of nausea or vomiting by tickling the throat; gasping with sudden
: fright, the Valsalva maneuver, hyperventilation, and drinking water from
: the 'wrong side' of a glass ...........
: The only drug approved by the FDA for the treatment of intractable hiccups is
: chlorpromazine............
: Only 1 randomized, double blind, placebo-controlled crossover study was
: conducted to assess the efficacy of oral baclofen 15 mg/day and 30 mg/day for
: the treatment of intractable hiccups. While patients reported no adverse
: effects secondary to baclofen, this drug was unable to completely resolve
: intractable hiccups in any patient..........
: Evidence supporting drug treatment for intractable hiccups remains
: inconclusive..............
: If intractable hiccups remain resistant to the non-pharmacological techniques,
: the strongest evidence to date supports the use of chlorpromazine 25 to 50 mg
: administered intravenously, with a second dose within 2 to 4 hours
: intravenously or intramuscularly. The patient should be monitored carefully
: for anticholinergic side effects, particularly sedation......
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05/28 19:56, , 1F
05/28 19:56, 1F
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