Caffeine toxicity - Revision history

KOkamoto: /* Management */

2019-04-09T14:44:39Z

Management

← Revisión anterior		Revisión del 14:44 9 abr 2019
Línea 51:		Línea 51:
	**IVF		**IVF
	**Vasopressors for refractory hypotension ([[Norepinephrine\|Norepi]] vs [[phenylephrine]])		**Vasopressors for refractory hypotension ([[Norepinephrine\|Norepi]] vs [[phenylephrine]])
	**BB or CCB for tachycardia		**BB or CCB for tachycardia (Esmolol or Propranolol)
			**If Vtach, initiate code protocol
	*[[Benzodiazepines]] for agitation		*[[Benzodiazepines]] for agitation
	*Treat [[hypokalemia]] and [[Rhabdomyolysis\|rhabdo]]		*Treat [[hypokalemia]] if K<3 and [[Rhabdomyolysis\|rhabdo]] (potassium depletion is due to intracellular shift rather than body depletion)
	*Antiemetics as needed		*Antiemetics as needed
	*[[Dialyzable Drugs\|HD]] can be used in severe cases		*[[Dialyzable Drugs\|HD]] can be used in severe cases

Rossdonaldson1: Text replacement - "UA" to "Urinalysis"

2016-10-02T20:24:15Z

Text replacement - "*UA" to "*Urinalysis"

← Revisión anterior		Revisión del 20:24 2 oct 2016
Línea 36:		Línea 36:
	*With clear history, no further work up is indicated		*With clear history, no further work up is indicated
	*With altered mental status or ambiguous presentation consider:		*With altered mental status or ambiguous presentation consider:
	**UA, CBC, BMP, LFTs		**[[Urinalysis]], CBC, BMP, LFTs
	**CT head		**CT head
	**tox workup		**tox workup

Rossdonaldson1: Text replacement - "AMS" to "altered mental status"

2016-07-31T08:24:50Z

Text replacement - "AMS" to "altered mental status"

← Revisión anterior		Revisión del 08:24 31 jul 2016
Línea 35:		Línea 35:
	==Workup==		==Workup==
	*With clear history, no further work up is indicated		*With clear history, no further work up is indicated
	*With ~~AMS~~ or ambiguous presentation consider:		*With altered mental status or ambiguous presentation consider:
	**UA, CBC, BMP, LFTs		**UA, CBC, BMP, LFTs
	**CT head		**CT head
Línea 44:		Línea 44:
	Treatment varies by severity of presentation<ref>Yew D, et al. Caffeine Toxicity Treatment & Management. Medscape. Updated: Mar 31, 2014.</ref>		Treatment varies by severity of presentation<ref>Yew D, et al. Caffeine Toxicity Treatment & Management. Medscape. Updated: Mar 31, 2014.</ref>
	*Airway		*Airway
	**Intubation is needed for ~~AMS~~ or seizures		**Intubation is needed for altered mental status or seizures
	*Breathing		*Breathing
	**Supplemental O2		**Supplemental O2

ClaireLewis: /* Workup */

2016-07-13T00:08:36Z

Workup

← Revisión anterior		Revisión del 00:08 13 jul 2016
Línea 34:		Línea 34:

	==Workup==		==Workup==
	*With clear hx, no further ~~w/u~~ is indicated		*With clear history, no further work up is indicated
	*With AMS or ambiguous presentation consider:		*With AMS or ambiguous presentation consider:
	**UA		**UA, CBC, BMP, LFTs
	**CBC		**CT head
	**Chemistry		**tox workup
	**LFTs		**infectious work up
	**~~CXR~~
	**Utox
	**ECG
	**Head CT
	**~~?Blood and urine cultures~~
	**?Ammonia level
	**?Tylenol/ASA level
	**?LP
	**?Serum Osm
	**?Coags
	**?TFTs
	**?Cortisol
	**~~?ABG/VBG~~

	==Management==		==Management==

ClaireLewis: /* Clinical Features */

2016-07-13T00:06:58Z

Clinical Features

← Revisión anterior		Revisión del 00:06 13 jul 2016
Línea 25:		Línea 25:
	**CV: Tachycardia and palpitations		**CV: Tachycardia and palpitations
	**HEENT: Tinnitus, “zig-zag” flashes of light		**HEENT: Tinnitus, “zig-zag” flashes of light
	**GI: ~~Abp~~, n/v		**GI: Abdominal pain, nausea/vomiting
	**Renal: Dehydration,		**Renal: Dehydration,
	**MSK: Muscle trembling or twitching		**MSK: Muscle trembling or twitching
	**Newborns: Whole-body tremors painful ~~and~~ swollen ~~abd~~ with nausea		**Newborns: Whole-body tremors, painful, swollen abdomen with nausea

	==Differential Diagnosis==		==Differential Diagnosis==

Neil.m.young: Text replacement - "==Sources==" to "==References=="

2016-06-26T20:33:03Z

Text replacement - "==Sources==" to "==References=="

← Revisión anterior		Revisión del 20:33 26 jun 2016
Línea 80:		Línea 80:
	==External Links==		==External Links==

	==~~Sources~~==		==References==
	<references/>		<references/>
	[[Category:Toxicology]]		[[Category:Toxicology]]

Ostermayer: Text replacement - "EKG" to "ECG"

2016-05-19T17:18:44Z

Text replacement - "EKG" to "ECG"

← Revisión anterior		Revisión del 17:18 19 may 2016
Línea 42:		Línea 42:
	**CXR		**CXR
	**Utox		**Utox
	**~~EKG~~		**ECG
	**Head CT		**Head CT
	**?Blood and urine cultures		**?Blood and urine cultures

Ostermayer: Text replacement - "Category:Tox" to "Category:Toxicology"

2016-03-22T16:22:51Z

Text replacement - "Category:Tox" to "Category:Toxicology"

← Revisión anterior		Revisión del 16:22 22 mar 2016
Línea 82:		Línea 82:
	==Sources==		==Sources==
	<references/>		<references/>
	[[Category:~~Tox~~]]		[[Category:Toxicology]]

JCMiller: links

2015-04-23T06:55:19Z

links

← Revisión anterior		Revisión del 06:55 23 abr 2015
Línea 63:		Línea 63:
	*Circulation		*Circulation
	**IVF		**IVF
	**Vasopressors for refractory hypotension ([Norepinephrine\|Norepi] vs [phenylephrine])		**Vasopressors for refractory hypotension ([[Norepinephrine\|Norepi]] vs [[phenylephrine]])
	**BB or CCB for tachycardia		**BB or CCB for tachycardia
	*[Benzodiazepines] for agitation		*[[Benzodiazepines]] for agitation
	*Treat [hypokalemia] and [Rhabdomyolysis\|rhabdo]		*Treat [[hypokalemia]] and [[Rhabdomyolysis\|rhabdo]]
	*Antiemetics as needed		*Antiemetics as needed
	*[Dialyzable Drugs\|HD] can be used in severe cases		*[[Dialyzable Drugs\|HD]] can be used in severe cases
	*Consult Poison Control		*Consult Poison Control

JCMiller at 06:52, 23 April 2015

2015-04-23T06:52:18Z

← Revisión anterior		Revisión del 06:52 23 abr 2015
Línea 63:		Línea 63:
	*Circulation		*Circulation
	**IVF		**IVF
	**Vasopressors for refractory hypotension (Norepi vs phenylephrine)		**Vasopressors for refractory hypotension ([Norepinephrine\|Norepi] vs [phenylephrine])
	**BB or CCB for tachycardia		**BB or CCB for tachycardia
	*Benzodiazepines for agitation		*[Benzodiazepines] for agitation
	*Treat hypokalemia and rhabdo		*Treat [hypokalemia] and [Rhabdomyolysis\|rhabdo]
	*Antiemetics as needed		*Antiemetics as needed
	*HD can be used in severe cases		*[Dialyzable Drugs\|HD] can be used in severe cases
	*Consult Poison Control		*Consult Poison Control


	==Disposition==		==Disposition==