96409 Chemotherapy administration; intravenous, push technique, single or initial substance/drug

Name of the Procedure:

Chemotherapy Administration: Intravenous, Push Technique, Single or Initial Substance/Drug

Summary

Chemotherapy administration using the intravenous (IV) push technique involves directly injecting a single chemotherapy drug into a vein. This method allows the medication to quickly enter the bloodstream and start attacking cancer cells.

Purpose

This procedure is typically used to treat various types of cancer by delivering potent drugs directly into the bloodstream, aiming to kill or slow the growth of cancer cells.

Indications

• Specific types of cancer (e.g., breast cancer, lung cancer, lymphoma).
• Previous unsuccessful treatments with other methods.
• Recurrence of cancer requiring rapid intervention.

Preparation

• Patients may be advised to stay hydrated.
• Blood tests to check liver and kidney function.
• Patients should inform their doctor of any other medications they are taking, as some may require adjustments.

Procedure Description

1. The patient is positioned comfortably, usually in a seated or reclined position.
2. A healthcare professional inserts an IV catheter into a vein, typically in the arm or hand.
3. The chemotherapy drug is prepared and double-checked for accuracy.
4. The medication is then slowly pushed into the IV line over a short period.
5. Throughout the procedure, the patient's vitals are monitored.

Tools/Equipment: IV catheter, syringes, chemotherapy drugs, sterile gloves.

Anesthesia/Sedation: Generally not required, though local anesthetic cream may be used to numb the insertion site.

Duration

The entire procedure typically takes about 15-30 minutes.

Setting

This procedure is usually performed in an outpatient clinic or hospital oncology unit.

Personnel

• Oncologist
• Oncology nurse
• Pharmacist (for drug preparation)

Risks and Complications

• Common risks: Nausea, fatigue, hair loss, and increased susceptibility to infections.

• Rare risks: Severe allergic reactions, vein irritation or inflammation, organ damage due to toxicity.

  Management usually involves supportive medications and close monitoring.

Benefits

• Targeted cancer cell reduction.
• May lead to remission or slowed progression of the disease.
• Symptom relief and improved quality of life.

Benefits can often be seen within a few weeks, but this can vary based on the type of cancer and individual patient response.

Recovery

• Patients can usually resume normal activities shortly after the procedure.
• Follow-up appointments are necessary for monitoring the response and managing side effects.
• Instructions on managing side effects at home are provided.

Alternatives

• Oral chemotherapy
• Radiation therapy
• Surgery
• Immunotherapy

Each alternative has its benefits and drawbacks, and suitability depends on cancer type, stage, and patient health.

Patient Experience

• The procedure is generally well-tolerated, though some may experience minor discomfort at the IV site.
• Post-procedure fatigue and nausea are common, manageable with prescribed medications and rest.
• Pain management and comfort measures are made available to enhance the patient experience.