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Caffeine Toxicity Ten Minute Toxicology

Caffeine Toxicity Ten Minute Toxicology. Russell Berger, MD Co-Director of Medical Toxicology Cambridge Health Alliance. Ubiquitous. Coffee Tea Energy Drinks Caffeinated Water Weight loss supplements Diuretics Prescription pills ( fioricet ) Alcoholic beverages (4-loco) Chocolate

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Caffeine Toxicity Ten Minute Toxicology

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  1. Caffeine ToxicityTen Minute Toxicology Russell Berger, MD Co-Director of Medical Toxicology Cambridge Health Alliance

  2. Ubiquitous • Coffee • Tea • Energy Drinks • Caffeinated Water • Weight loss supplements • Diuretics • Prescription pills (fioricet) • Alcoholic beverages (4-loco) • Chocolate • Ice cream

  3. Caffeine Content • Coffee(8oz) 100-200mg • Tea (8oz) 50mg • Mountain Dew (12 oz) 71 mg • Red Bull (8oz) 80mg • 5 hour energy 215 mg.

  4. Symptoms • Increased wakefulness • Agitation • Jitteriness • Nausea/Vomiting • Palpitations • tremor

  5. Clinical Signs • Hypertension • Tachycardia • Dilated pupils • Fine tremor • Agitation • Vomiting

  6. Profile for severely intoxicated Sympathomimetic appearing + PROFOUND VOMITING HYPOkalemia Seizures Ventricular tachycardia and VFIB…death

  7. Treatment • Supportive with fluids, anti-emetics, and benzodiazepines. • Dialysis(consider for status epilepticus and dysrhythmias)

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