Published
Probably an off label use, sounds like.
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.
I saw it given once (IV form) to an adult patient for bad bad headache (probably migraine). It didn't work.
Most of the infants I care for in the NICU either are currently on or have been on IV or PO caffeine for apnea of prematurity. It is available mixed 20mg/ml (which is the same as 60mg/3mls). The infant dosing for apnea of prematurity is 5mg/kg once a day after a loading dose.
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
tito1312
5 Posts
Please, i need help about the ideal concentration for the dilution of caffeine IV (60mg/3ml). It's the first time i use this medication.
Thanks