Name of the Procedure:

Injection, Codeine Phosphate, per 30 mg
Common Name(s): Codeine Injection
Medical Terms: Intramuscular or Intravenous Codeine Phosphate Injection

Summary

An Injection of codeine phosphate is administered to reduce severe pain. This opioid medication works by interacting with specific receptors in the brain and spinal cord to alleviate discomfort effectively.

Purpose

The primary purpose of this injection is to provide pain relief in situations where other, less potent medications are not effective. It is used to manage severe pain from conditions such as injuries, surgery, or certain medical disorders.

Indications

• Severe acute pain
• Post-surgical pain
• Pain from trauma or injury
• Chronic pain conditions where other treatments are ineffective

Preparation

• Patients may be advised to avoid eating or drinking for a few hours before the procedure.
• Ensure a list of all current medications is provided to the healthcare provider to avoid any adverse interactions.
• Diagnostic tests or assessments, such as an evaluation of kidney and liver functions, may be required.

Procedure Description

1. The healthcare provider will choose an appropriate vein (intravenous) or muscle site (intramuscular) for injection.
2. The site will be cleaned with an antiseptic wipe.
3. For intravenous injection, a small needle is inserted into a vein. For intramuscular injection, the needle is inserted into a muscle.
4. The codeine phosphate is injected slowly to minimize discomfort.

5. The needle is removed, and pressure is applied to the injection site to prevent bleeding.

   No anesthesia is typically required as the procedure is quick and involves minimal discomfort.

Duration

The procedure itself usually takes less than 5 minutes to complete.

Setting

This procedure is typically performed in a hospital or an outpatient clinic.

Personnel

• Doctor or Nurse Practitioner to administer the injection
• Supporting Nurses for preparation and observation

Risks and Complications

• Common: Drowsiness, dizziness, nausea, vomiting, and constipation
• Rare: Allergic reactions, respiratory depression, and dependency or addiction
• Complications: Potential for injection site infection or hematoma, which are managed with appropriate care and monitoring.

Benefits

The expected benefit is significant pain relief that can be realized within minutes to hours after administration, providing comfort and enhancing the ability to recover or perform daily activities.

Recovery

• Patients are usually observed for a short period to monitor for adverse effects.
• Minimal physical restriction post-injection, but patients are advised not to drive or operate heavy machinery due to possible drowsiness.
• Follow-up appointments may be scheduled to evaluate pain management and adjust dosages if necessary.

Alternatives

• Oral pain medications: May be less effective for severe pain but easier to administer.
• Non-opioid pain management techniques: Physical therapy, acupuncture, or non-steroidal anti-inflammatory drugs (NSAIDs).
• Pros: Non-invasive alternatives with fewer risks of dependency and side effects.
• Cons: Might be less effective for intense pain.

Patient Experience

• During the procedure, patients may feel a brief prick or sting at the injection site.
• After the procedure, pain relief usually begins shortly, but the patient may experience side effects such as drowsiness or nausea.
• Pain management includes over-the-counter medications for minor side effects and instructions to rest and remain hydrated.