Intravenous infusion, hydration; initial, 31 minutes to 1 hour
CPT4 code
Name of the Procedure:
Intravenous Infusion, Hydration; Initial, 31 Minutes to 1 Hour (IV Hydration Therapy)
Summary
Intravenous (IV) hydration therapy involves the administration of fluids directly into a vein to rehydrate the body. This initial session typically lasts between 31 minutes to 1 hour.
Purpose
IV hydration addresses severe dehydration due to various medical conditions. The goal is to quickly restore fluid balance, improve circulation, and ensure essential nutrients are delivered to the body's cells.
Indications
- Severe dehydration from illnesses such as gastroenteritis
- Prolonged vomiting or diarrhea
- Heat exhaustion or heatstroke
- Hypovolemia (low blood volume)
- Inability to maintain adequate hydration orally
Preparation
- Patients should inform their healthcare provider of any medications they are taking.
- It is generally not necessary to fast before the procedure.
- Baseline assessments, such as blood pressure and electrolyte levels, may be performed.
Procedure Description
- The patient is seated or lying down comfortably.
- A healthcare provider cleans the insertion site on the arm or hand.
- An IV catheter is inserted into the vein, secured with tape.
- An IV bag containing saline or other fluids is connected to the catheter.
- The flow rate is adjusted to ensure proper hydration over 31 minutes to 1 hour.
- Patients are monitored for any adverse reactions or complications.
Duration
The procedure typically takes between 31 minutes to 1 hour.
Setting
IV hydration is usually performed in a hospital, outpatient clinic, or urgent care facility.
Personnel
- Nurse or trained healthcare technician for IV insertion and monitoring.
- Physician or Nurse Practitioner may oversee the procedure.
Risks and Complications
- Minor discomfort or bruising at the insertion site
- Infection at the injection site
- Phlebitis (vein inflammation)
- Rarely, fluid overload, especially in patients with heart or kidney conditions
Benefits
- Rapid rehydration and electrolyte balance
- Reduction in symptoms such as dizziness, headache, or fatigue
- Improved overall circulation and cell function
- Patients often feel better within a short time after the procedure.
Recovery
- Post-procedure, patients can usually resume normal activities immediately.
- Keeping the insertion site clean and dry is advised to prevent infection.
- Follow-up may include additional hydration sessions or further medical assessment.
Alternatives
- Oral rehydration solutions, though they may be less effective in severe cases.
- Intramuscular (IM) or subcutaneous (SC) injections of fluids, but these are less common.
- The choice depends on the patient's condition and ability to tolerate oral fluids.
Patient Experience
- Patients might feel a slight prick during IV insertion.
- A sense of coolness or tingling might occur as the fluids enter the bloodstream.
- Comfort measures include a reclining chair or blanket for warmth.
- Pain management is typically unnecessary but can involve a topical anesthetic if needed.