What is included in inpatient care for caffeine toxicity?

Updated: Oct 24, 2020
  • Author: David Yew, MD; Chief Editor: Michael A Miller, MD  more...
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Answer

Intensive care unit (ICU) admission is warranted for patients with seizures, clinically significant dysrhythmias, hemodynamic instability, or other signs of severe caffeine toxicity. Patients who require ICU admission for caffeine toxicity should receive close hemodynamic monitoring as well as serial measurement of electrolyte levels, with particular attention to serum potassium levels.

Patients with mild symptoms of caffeine toxicity may be admitted to a general medical ward for observation. Telemetric monitoring should be considered for all patients admitted for caffeine toxicity.

For stable patients with intentional overdoses, consider admission to a psychiatric unit. Patients may require transfer to a psychiatric facility for evaluation and treatment after an intentional ingestion if they are hemodynamically stable and if they have no evidence of CNS complications.


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