Name of the Procedure

Injection, leucovorin calcium, per 50 mg (HCPCS Code: J0640)

• Common names: Leucovorin Injection
• Technical terms: Leucovorin calcium

Summary

Leucovorin calcium is a medication administered through injection. It is commonly used to counteract the side effects of certain chemotherapy drugs, enhance the effectiveness of cancer treatments, and treat folic acid deficiencies.

Purpose

This injection is primarily used to:

• Reduce harmful effects of methotrexate and related drugs.
• Enhance the efficacy of fluorouracil in cancer treatment.
• Address folic acid deficiencies in the body.

Indications

• Patients receiving high-dose methotrexate therapy.
• Individuals undergoing treatment with specific cancer drugs like fluorouracil.
• People with diagnosed folic acid deficiency or certain types of anemia.

Preparation

• Patients may be required to fast or avoid certain foods or medications before the procedure.
• Blood tests or kidney function tests may be necessary to determine the appropriate dosage and monitor for potential side effects.

Procedure Description

1. The healthcare provider prepares the leucovorin calcium solution.
2. The patient's skin is cleaned at the injection site.
3. Using a sterile technique, the medication is injected subcutaneously, intramuscularly, or intravenously as per medical requirements.
4. The site is observed for any immediate reactions.

Tools, Equipment, and Technology:

• Sterile syringes and needles.
• Leucovorin calcium solution.

Anesthesia/Sedation:

• Generally not required.

Duration

The injection process typically takes about 5-10 minutes.

Setting

This procedure can be performed in various settings, including:

• Hospitals
• Outpatient clinics
• Infusion centers

Personnel

• Registered nurse or licensed medical professional
• Supervising physician or oncologist (if necessary)

Risks and Complications

• Common risks: Injection site reactions (redness, pain), mild nausea.
• Rare complications: Allergic reactions, imbalances in electrolytes or folic acid.

Benefits

• Reduction in the side effects of chemotherapy.
• Improved effectiveness of certain cancer treatments.
• Correction of specific nutritional deficiencies.

Recovery

• Patients may resume most normal activities immediately unless otherwise advised by the healthcare provider.
• Follow-up may include additional injections or monitoring of blood levels.
• Drink plenty of water to help flush the medication through the kidneys as advised by the healthcare provider.

Alternatives

• Alternative treatments depend on the underlying condition being treated.
• Options may include oral folic acid supplements, different chemoprotective agents, or alternative chemotherapy regimens.
• Pros and cons of alternatives should be discussed with the healthcare provider based on individual patient needs.

Patient Experience

• The injection site might feel sore for a short period.
• Pain management includes over-the-counter pain relievers if approved by the healthcare provider.
• Most patients tolerate the procedure well with few side effects.

This markdown document provides a thorough overview of the injection procedure for leucovorin calcium, ensuring patients understand what to expect and how to prepare adequately.