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Injection, chlorothiazide sodium, per 500 mg

HCPCS code

Injection, Chlorothiazide Sodium, Per 500 mg (J1205)


Name of the Procedure:

  • Common Name(s): Chlorothiazide Injection
  • Technical/Medical Term: Injection, Chlorothiazide Sodium, per 500 mg

Summary

This procedure involves injecting chlorothiazide sodium into a patient's body. Chlorothiazide is a type of medication known as a diuretic, which helps the kidneys expel excess fluid and salt from the bloodstream.


Purpose

  • Medical Conditions Addressed: Hypertension (high blood pressure), edema (fluid retention) associated with congestive heart failure, liver cirrhosis, renal dysfunction.
  • Goals/Outcomes: Reduce blood pressure, decrease fluid retention, alleviate symptoms of heart failure or liver disease.

Indications

  • Specific Symptoms: Swelling in the legs, shortness of breath, high blood pressure readings.
  • Patient Criteria: Individuals diagnosed with hypertension, congestive heart failure, liver cirrhosis, or renal dysfunction where oral medication is insufficient or not feasible.

Preparation

  • Instructions: Patients may need to fast or adjust their current medications as directed by their healthcare provider.
  • Diagnostic Tests: Blood tests to check kidney function and electrolyte levels.

Procedure Description

  1. The healthcare provider prepares the injection by drawing 500 mg of chlorothiazide sodium into a syringe.
  2. The injection site, typically an arm or thigh, is cleaned to prevent infection.
  3. Chlorothiazide sodium is injected intramuscularly or intravenously.
  4. The site is monitored for any adverse reactions.
    • Tools/Equipment: Syringe, needle, chlorothiazide sodium solution.
    • Anesthesia/Sedation: Not typically required.

Duration

The injection process itself takes approximately 10-15 minutes.


Setting

This procedure is usually performed in a hospital, outpatient clinic, or healthcare provider’s office.


Personnel

  • Healthcare Professionals Involved: Nurse or physician administers the injection. A physician prescribes the medication.

Risks and Complications

  • Common Risks: Injection site pain, redness, or swelling.
  • Rare Risks: Allergic reactions, electrolyte imbalances, dehydration.
  • Complications Management: Monitoring and follow-up care, medication adjustments.

Benefits

  • Expected Benefits: Reduction in fluid retention, lowered blood pressure, improved symptoms of congestive heart failure.
  • Benefit Realization: Effects can be seen within hours to days, depending on the severity of the condition.

Recovery

  • Post-Procedure Care: Monitor the injection site for signs of infection or reaction.
  • Recovery Time: Immediate recovery, but follow-up appointments may be needed to adjust dosage or assess effectiveness.
  • Restrictions: Patients should monitor their fluid intake and follow their healthcare provider's advice.

Alternatives

  • Other Treatment Options: Oral diuretics, lifestyle changes (diet, exercise), other antihypertensive medications.
  • Pros and Cons: Oral medications might be less invasive but can take longer to show effects or might be less tolerable for some patients.

Patient Experience

  • During the Procedure: Mild discomfort or pain at the injection site.
  • After the Procedure: Possible feeling of slight fatigue or dizziness, pain relief from fluid reduction.
  • Pain Management: Over-the-counter pain relievers if needed, comfort measures such as a warm compress to the injection site.

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