Jump to content

URGENT: I need help about caffeine

Posted
tito1312 tito1312 (New) New

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

Virgo_RN, BSN, RN

Specializes in Cardiac Telemetry, ED.

I would sincerely hope that you would not administer this drug based upon responses to a question on an internet bulletin board. Do you not have a pharmacist you can ask? A physician? A drug guide? An experienced nurse? :eek:

nerdtonurse?, BSN, RN

Specializes in ICU, Telemetry.

You can DO caffeine IV? You mean I've been drinking it for nothing when I can get an expresso drip?

Seriously, I guess you'd do it for something along the lines of giving an ADHD kid a stimulant, but I've never seen this one...new to me.

Virgo_RN, BSN, RN

Specializes in Cardiac Telemetry, ED.

Apparently caffeine citrate is indicated for apnea in preterm infants.

loricatus

Specializes in ED, ICU, PACU.

Apparently caffeine citrate is indicated for apnea in preterm infants.

I also saw it used in the ER for an asthmatic patient who had allergies to the standard neb treatments.

Virgo_RN, BSN, RN

Specializes in Cardiac Telemetry, ED.

I also saw it used in the ER for an asthmatic patient who had allergies to the standard neb treatments.

Probably an off label use, sounds like.

sissiesmama, ASN, RN

Specializes in ER, TRAUMA, MED-SURG. Has 22 years experience.

The only time I saw it given was actually to me as a patient with an intract. migraine after a procedure, and the doc gave me a caffeine gtt. I wasn't too impressed, but the next step was to go to the OR for a blood patch.

Anne, RNC

azhiker96, BSN, RN

Specializes in PACU. Has 10 years experience.

I have seen it used when the pt. had a spinal headache caused by a leak of csf.

TiffyRN, ADN, BSN, PhD

Specializes in NICU. Has 27 years experience.

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.

PostOpPrincess, BSN, RN

Specializes in M/S, MICU, CVICU, SICU, ER, Trauma, NICU. Has 19 years experience.

Please verify with YOUR standards of care in your hospital setting.

sissiesmama, ASN, RN

Specializes in ER, TRAUMA, MED-SURG. Has 22 years experience.

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

Edited by sissiesmama

cardiacRN2006, ADN, RN

Specializes in Cardiac.

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.

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

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

300g

Specializes in NICU III/Transport. Has 9 years experience.

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.

CrufflerJJ, RN

Specializes in ICU. Has 5 years experience.

hypocaffeinemia should know.:D

Guest
This topic is now closed to further replies.