Oral route (or NG) is fine of course. But can’t give as coffee. If caffeine not available, try to source it, and aminophylline is still an option if caffeine can’t be obtained (hopefully you will get)
Sir My son is 26 weeker now he is 35 weeks.He had really major spells in HFNC.they moved to CPAP.All reports are normal.Already one course of Steroid given during 28 weeks.Now 35 weeks.Can he given another course of steroid?.he is already on Caffine
It is usually adequate to wait, sometimes the worsening at this stage happens due to infection or reflux. A period of increased support should be enough
I prefer not to give more than 10 mg/kg/day-but in some situations, an occasional top up dose of 10 mg/kg has been given with some benefit (on top of the above maintenance dose)
@@محبةالرحمن-م9ح No, maintenance dose stays at 10 mg/kg, but sometimes a single additional dose of 10 mg/kg (you could consider it a top up dose, which could improve the serum levels)
Can we give caffeine orally by Ngt with ebm or as coffee where caffeine is not available.
Oral route (or NG) is fine of course. But can’t give as coffee. If caffeine not available, try to source it, and aminophylline is still an option if caffeine can’t be obtained (hopefully you will get)
Sir My son is 26 weeker now he is 35 weeks.He had really major spells in HFNC.they moved to CPAP.All reports are normal.Already one course of Steroid given during 28 weeks.Now 35 weeks.Can he given another course of steroid?.he is already on Caffine
It is usually adequate to wait, sometimes the worsening at this stage happens due to infection or reflux. A period of increased support should be enough
Can i increase caffine maintaince above 10 mg
I prefer not to give more than 10 mg/kg/day-but in some situations, an occasional top up dose of 10 mg/kg has been given with some benefit (on top of the above maintenance dose)
Icant understant you mean you some time use 20 mg maintaince
For how long
@@محبةالرحمن-م9ح No, maintenance dose stays at 10 mg/kg, but sometimes a single additional dose of 10 mg/kg (you could consider it a top up dose, which could improve the serum levels)