![]() Imminent cardiac arrest in caffeine toxicity should prompt intra-lipid therapy to scavenge the free serum caffeine. Caffeine exhibits ideal characteristics to be dialyzed, including low protein binding (36%), low molecular size (194), and a small volume of distribution (0.6 to 0.8 L/kg). Hemodialysis has been effective in severe, life-threatening caffeine ingestions. Unlike other products made by The Coca-Cola Company, the popular soda Sprite does not contain any caffeine. Īctivated charcoal can bind caffeine if the ingestion is recent, and repeated doses can help diminish serum levels via the enterohepatic circulation. No, Sprite is a 100 caffeine-free beverage. Vasopressors, such as vasopressin or phenylephrine, can be used to maintain blood pressure (goal mean arterial pressure greater than 65 mm Hg) without worsening tachycardia. Find it in the energy drink section at your local retailer or online in a 12oz can. ![]() Flavor: enjoy it in Coca-Cola Energy, Coca-Cola Energy Zero Sugar, Coca-Cola Energy Cherry and Coca-Cola Energy Zero Sugar Cherry. Procainamide, lidocaine, or bicarbonate have also been utilized for the treatment of tachydysrhythmias. Caffeine: 114mg of caffeine in each 12oz serving. Beta-blockade with esmolol is useful for tachycardia. Extra caffeine doesn’t get stored in your body either. Hydration may be oral in minor cases, yet severe cases benefit from intravenous (IV) hydration. Caffeine increases the amount of acid in your stomach and may cause heartburn or upset stomach. The primary treatment for minor caffeine ingestion is supportive. įatal caffeine overdose is relatively uncommon, and treatment data is limited to case reports. Cardiac monitoring allows evaluation of heart rate and early recognition of dysrhythmias such as ventricular ectopy or fibrillation. An electrocardiogram may demonstrate tachycardia, ST-segment depressions, or T-wave inversions. Sparkling Low Calorie Soft Drink with Plant Extracts with Sweeteners. It is also important to obtain serum myoglobin and creatine kinase levels to monitor for rhabdomyolysis. Caffeine toxicity can result in hypokalemia, hypocalcemia, hyponatremia, and hyperglycemia. Ī venous blood gas may demonstrate anion gap metabolic acidosis, which can be severe. Lethal blood levels are typically above 80 to 100 mg/L, although one case occurred at 15 mg/L. Although not available in all hospitals, serum caffeine levels are generally obtained with an immunoassay. Serum caffeine levels can guide prognosis and therapy. Routine serum laboratory evaluations can be useful in drug overdose cases, especially in the setting of unstable vital signs, seizures, or altered sensorium. Caffeine: 34 mg Coke Zero contains no added sugars since it uses artificial sweeteners instead.
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