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URGENT: I need help about caffeine



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No. 10
from JoPACURN
Old Jun 23, 2009, 10:04 PM

Default Re: URGENT: I need help about caffeine
Please verify with YOUR standards of care in your hospital setting.
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No. 11
Old Jun 23, 2009, 10:06 PM
Updated Jun 23, 2009 at 10:36 PM by sissiesmama

Default Re: URGENT: I need help about caffeine
Originally Posted by azhiker96 View Post
I have seen it used when the pt. had a spinal headache caused by a leak of csf.
Thank you! I couldn't even remember why I had it but I had a csf leak after a radiologic procedure. I was in the hospital room on the BR floor and just stuck out my arm at shift change for vital signs. I vomited constantly for 3 days, then the doc said that the next dat I would be in the OR for a blood patch - -maybe it was in my head!!

Anne, RNC
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No. 12
Old Jun 23, 2009, 11:37 PM

Default Re: URGENT: I need help about caffeine
Originally Posted by loricatus View Post
Since oral caffeine has been used for asthmatic patients ( http://www.cochrane.org/reviews/en/ab001112.html ) I wouldn't think that the IV version would be considered off-label usage.
For sure. All asthmatics know that caffeine is helpful for asthma attacks. When I'm having an attack, and I can't get to my inhaler, I reach for a nice hot cup of coffee. It's a natural bronchodilator.
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No. 13
from tito1312
Old Jun 24, 2009, 01:37 AM

Alert Re: URGENT: I need help about caffeine
forgiveness for my English, I'm Colombian, and what I want to know with precision how dilution is in neonatal care: the must have in mg / ml for preterm

thanks
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No. 14
from tito1312
Old Jun 24, 2009, 01:41 AM

Alert Re: URGENT: I need help about caffeine
forgiveness for my English, I'm Colombian, and what I want to know with precision how dilution is in neonatal care: the must have in mg / ml for preterm

thanks
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No. 15
from 300g
Old Jun 24, 2009, 06:33 AM

Default Re: URGENT: I need help about caffeine
For apnea of prematurity, as already noted, 20mg/ml (60mg/3ml) is the appropriate concentration. Loading dose 20-40mg/kg and maintenance dose 5-8mg/kg/day q24hours after loading dose. No dilution necessary.

example: 1kg patient = 20mg loading dose ordered = 1ml ... maintenance dose ordered for 24 hours later 5mg/kg/dose = 0.25ml IV q 24hours.

And general practice doesn't monitor caffeine levels anymore.
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No. 16
from CrufflerJJ
Old Jun 24, 2009, 07:30 AM

Default Re: URGENT: I need help about caffeine
hypocaffeinemia should know.
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No. 17
from GOMER42
Old Jun 24, 2009, 07:42 AM

Default Re: URGENT: I need help about caffeine
CALL PHARMACY
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No. 18
Old Jun 24, 2009, 08:05 AM

Default Re: URGENT: I need help about caffeine
I've seen it PO (for after spinal taps), but I've never seen it IV. We usually fly out really sick babies, we're not equipped for it. Good to know and file away in the old brain box....
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No. 19
from husker_rn
Old Jun 24, 2009, 09:22 AM

Default Re: URGENT: I need help about caffeine
Saw it used once during ECT.....doctor explained it potentiated ECT; that a lower setting was needed for same results. Of course that was many years ago.
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