34. Antipsychotic SE Akathisia Tongue thrusting Facial grimacing Jerking of head Mouth puckering Finger movement Blinking Rolling the tongue around the mouth Twitching hands Tapping feet Twisting the trunk
44. Xanthines Purpose: stimulate respiration in newborns Side effects: restlessness, tremors, twitching, palpitations, insomnia Xanthines (methylxantine) Caffeine used in newborns with respiratory distress to stimulate respirations Theophylline
45. Caffeine Increased alertness; Diuretic, cardiovascular stimulation, bronchodilation, increased GI secretion, skeletal muscle stimulation Large amts can cause excessive CNS stimulation: Anxiety, agitation, diarrhea, insomnia, irritable, nervous, PVCs, Toxicity: Delirium, seizures Withdrawal: Headache, fatigue, muscle pain
46. Item Item Size Caffeine Content (mg) Coffee 150 ml (5 oz) 60-150 Coffee, decaf 150 ml (5 oz) 2-5 Tea 150 ml (5 oz) 40-80 Hot Cocoa 150 ml (5 oz) 1-8 Chocolate Milk 225 ml 2-7 Jolt Cola 12 oz 71 Josta 12 oz 58 Mountain Dew 12 oz 55 Surge 12 oz 51 Tab 12 oz 47 Diet Coca Cola 12 oz 45 Coca Cola 12 oz 45
47. Copyright 2003, Elsevier Science (USA). All Rights Reserved. Coca Cola 12 oz 45 Tab 12 oz 46 RC Cola 12 oz 43 Dr. Pepper 12 oz 41 Mr. Pibb 12 oz 40 Pepsi Cola 12 oz 37 Cherry Coca-Cola 8 oz 31 7-Up 12 oz 0 Mug Root Beer 12 oz 0 Sprite 12 oz 0
48. Copyright 2003, Elsevier Science (USA). All Rights Reserved. This is No BULL! Red Bull contains approx 80 mg caffeine in one can (similar to a cup of regular coffee) Caffeine is FATAL in doses of 10 grams
49. And What about Starbucks? (amounts vary by web site) Coffee, tall (12 oz.) 240 mg Coffee, venti (20 oz.) 480 mg Coffee, short (8 oz.) 180 mg Coffee, grande (16 oz.) 320 mg
50. Copyright 2003, Elsevier Science (USA). All Rights Reserved. OTC Drugs with Caffeine Dextrim 200 Vivarin 200 No Doz 100 Excedrin 65 Vanquish 33 Anacin 32 Midol 32 Triaminicin 30 Dristan 16
51. Copyright 2003, Elsevier Science (USA). All Rights Reserved. Caffeine in Common Products Caffeine IS addictive 3-4 cups of coffee is maximum recommended/day Listed as GRAS (Generally Recognized as Safe!) Should be avoided by pregnant women, people with CAD, HTN
52. Respiratory CNS Stimulant Purposes: respiratory depression from drug overdose, postanesthetic respiratory depression, occasionally COPD Doxapram (Dopram)