Name of the Procedure:

Infusion Supplies Not Used with External Infusion Pump, Per Cassette or Bag (A4223)
Commonly referred to as Infusion Supply Kit or Manual Infusion Supplies.

Summary

This involves providing the necessary medical supplies used for the manual administration of medication or fluids, which are not delivered via an external infusion pump. These supplies generally include items like cassettes or bags that hold the infusion fluids.

Purpose

The primary goal is to administer medications, hydration, or nutrients directly into the bloodstream. This method can be employed for patients who require intravenous (IV) therapies without the need for an automated external infusion pump.

Indications

• Dehydration
• Infections requiring IV antibiotics
• Chemotherapy
• Pain management
• Administration of vitamins or other essential nutrients

Patients who cannot adequately tolerate oral medications or have gastrointestinal issues that impair absorption are suitable candidates.

Preparation

• Follow your healthcare provider’s instructions regarding fasting or fluid intake.
• Some medications may require pre-procedure blood tests or other diagnostic assessments.
• Patients should disclose any allergies to materials, such as latex or certain plastics.

Procedure Description

1. Preparation of Supplies: Assembling the cassette or bag with the prescribed medication or fluid.
2. Site Preparation: Cleaning the injection site with antiseptic to prevent infection.
3. Insertion: A catheter or needle is inserted into the vein.
4. Administration: The infusion fluid is manually controlled and administered through the catheter.
5. Monitoring: The healthcare provider monitors for any adverse reactions or complications during infusion.

Equipment used includes infusion bags or cassettes, IV tubing, needles, catheters, and antiseptic solutions. Generally, anesthesia or sedation is not required.

Duration

The duration depends on the volume and type of fluid or medication being infused. Typically, it ranges from 30 minutes to several hours.

Setting

The procedure can be performed in various settings including hospitals, outpatient clinics, or at home under medical supervision.

Personnel

• Nurses or trained medical technicians
• Physicians may be involved in preparation and supervision

Risks and Complications

• Common Risks: Bruising, minor pain, or discomfort at the injection site.
• Rare Risks: Infection, severe allergic reactions (anaphylaxis), phlebitis (inflammation of the vein), or fluid overload.

Benefits

The immediate benefit is the direct and effective administration of necessary medications or fluids. Most patients begin to feel the effects of the treatment within a few hours to days.

Recovery

• Post-Procedure Care: Patients should stay hydrated and keep the infusion site clean and dry.
• Recovery Time: Typically, minimal recovery time is needed; instructions regarding physical activity and follow-up appointments depend on the underlying condition being treated.

Alternatives

• Oral Medications: Simpler but not suitable if absorption is impaired.
• External Infusion Pumps: Automated but may be costlier and require more technical skill.
• Injections (Intramuscular or Subcutaneous): Quicker but can be painful and less effective for certain treatments.

Patient Experience

During the procedure, patients might feel a slight pinch at the needle insertion site and minor discomfort from the IV. Pain management measures include numbing creams or local anesthetics. Post-procedure, patients generally experience minor soreness at the site but can typically return to their normal activities almost immediately.

By understanding what to expect, patients can better prepare mentally and physically, leading to a smoother overall experience.