Name of the Procedure:

• Common Name: Injection of fluconazole
• Medical Term: Fluconazole Injection, 200 mg (HCPCS Code: J1450)

Summary

The fluconazole injection is a medical procedure where a dose of 200 mg of fluconazole, an antifungal medication, is administered intravenously to treat fungal infections. This procedure is typically performed by healthcare professionals in a clinical setting.

Purpose

The fluconazole injection is used to:

• Treat and prevent serious systemic and localized fungal infections.
• Specifically address conditions like candidiasis, cryptococcal meningitis, and other fungal infections in patients with weakened immune systems.

Indications

• Patients with confirmed diagnosis of candidiasis, cryptococcal meningitis, or other systemic fungal infections.
• Patients who are immunocompromised, such as those undergoing chemotherapy, organ transplants, or with HIV/AIDS.
• Patients not responding to oral antifungal medications.

Preparation

• Patients should inform healthcare providers about any allergies or current medications.
• No specific fasting is typically required.
• Routine blood tests may be conducted to evaluate liver function and overall health status.

Procedure Description

1. A healthcare provider confirms the appropriate dose of fluconazole.
2. The provider prepares the IV (intravenous) solution under sterile conditions.
3. An IV catheter is inserted into a vein, usually in the arm.
4. The fluconazole solution is infused slowly into the bloodstream over a specified period.
5. The IV catheter is removed after the infusion is complete and the site is covered with a sterile bandage.

• Tools/Equipment: IV catheter, sterile bandages, infusion pump, fluconazole solution.
• Anesthesia/Sedation: Not typically required.

Duration

The infusion usually takes about 30 minutes to 1 hour.

Setting

• The procedure is typically performed in a hospital, outpatient clinic, or specialized infusion center.

Personnel

• Registered Nurse (RN) or Licensed Practical Nurse (LPN) for IV insertion and monitoring.
• Physician or specialized healthcare provider for supervision and dosage confirmation.

Risks and Complications

• Common: Mild headache, nausea, and abdominal pain.
• Rare: Allergic reactions, liver damage, or irregular heartbeats.
• Management: Monitoring for adverse reactions and administering supportive care as needed.

Benefits

• Effective control and treatment of serious fungal infections.
• Rapid therapeutic effect compared to oral medications, especially in critical cases.
• Benefits usually noticed within a few days to a week of treatment.

Recovery

• Post-procedure care involves monitoring for any immediate adverse reactions at the infusion site.
• Patients can typically resume normal activities shortly after the procedure.
• Follow-up appointments may be necessary to assess the effectiveness and manage any ongoing symptoms.

Alternatives

• Oral fluconazole for less severe infections.
• Other antifungal medications (e.g., amphotericin B, itraconazole).
• Pros of alternatives: Non-invasive, easier administration (oral route).
• Cons of alternatives: May be less effective or take longer to achieve desired results in severe cases.

Patient Experience

• During the procedure: Mild discomfort from the IV insertion, but generally painless.
• After the procedure: Possible mild side effects such as nausea or headache, managed with supportive care and medication if needed.
• Pain management: Typically involves monitoring and oral pain relievers if necessary.