korvus
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I had a quick question that I couldn't find the answer to online. I was looking at our protocols today and noticed that the chest pain protocol said nitro was contraindicated with "Epigastric distress or hiccups accompanying symptoms of acute myocardial infarction". My net search found this which seemed to agree:
http://books.google.com/books?id=f3ePQZDXpwwC&lpg=PT410&ots=E1Fj-bu045&pg=PT410#v=onepage&f=false
So I have some evidence that it is a "real" contraindication (instead of some wacky theory our medical director came up with). What I can't find is WHY, and it always drives me crazy when I hear something like that and can't figure out why. If I learn why, I'll remember forever, but if I don't, I'll probably forget this tomorrow. :huh:
Anyone happen to know why you wouldn't want to give nitro to someone with hiccups/indigestion? Thanks!
http://books.google.com/books?id=f3ePQZDXpwwC&lpg=PT410&ots=E1Fj-bu045&pg=PT410#v=onepage&f=false
Do not give nitroglycerin if there is hypotension or bradycardia, and do not give it to patients having epigastric symptoms (“indigestion”) or hiccups.
So I have some evidence that it is a "real" contraindication (instead of some wacky theory our medical director came up with). What I can't find is WHY, and it always drives me crazy when I hear something like that and can't figure out why. If I learn why, I'll remember forever, but if I don't, I'll probably forget this tomorrow. :huh:
Anyone happen to know why you wouldn't want to give nitro to someone with hiccups/indigestion? Thanks!