Name of the Procedure:

Injection, Theophylline, per 40 mg (J2810)

Summary

Theophylline injection is a method of delivering a medication called theophylline directly into the bloodstream via an injection. Theophylline helps open up airways in the lungs to make breathing easier for individuals with certain lung conditions.

Purpose

Medical Conditions or Problems it Addresses

• Asthma
• Chronic Obstructive Pulmonary Disease (COPD)
• Other respiratory issues causing bronchoconstriction

Goals or Expected Outcomes

• Alleviate symptoms of bronchoconstriction
• Improve overall lung function and ease of breathing

Indications

• Persistent symptoms not controlled by inhaled medications
• Acute exacerbations of asthma or COPD
• Patients who cannot take oral forms of theophylline

Preparation

Pre-Procedure Instructions

• Fasting for a few hours may be advised
• Adjustments in other medication use, based on doctor's advice

Diagnostic Tests or Assessments

• Blood tests to measure current theophylline levels
• Lung function tests

Procedure Description

1. The patient is positioned comfortably.
2. A healthcare provider will clean the injection site with an antiseptic.
3. Theophylline is drawn into a syringe.
4. The needle is inserted into a vein, typically in the arm.
5. The medication is injected slowly over a few minutes.
6. The injection site is cleaned and covered with a bandage.

Tools, Equipment, or Technology Used

• Syringe and needle
• Antiseptic solution
• Bandage

Anesthesia or Sedation Details

• Generally, no anesthesia or sedation is needed.

Duration

The injection procedure typically takes around 10-15 minutes.

Setting

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

Personnel

• Registered Nurse (RN) or Licensed Practical Nurse (LPN)
• Attending physician or pulmonologist, if required

Risks and Complications

Common Risks

• Mild pain or discomfort at the injection site
• Nausea or upset stomach
• Headache

Rare Risks

• Allergic reaction
• Theophylline toxicity leading to rapid heart rate, seizures, or other serious issues

Management

• Monitoring vital signs post-injection
• Immediate medical assistance if severe reactions occur

Benefits

• Rapid relief from symptoms of bronchoconstriction
• Improved lung function
• Enhanced quality of life

Recovery

Post-Procedure Care and Instructions

• Rest for a short period post-injection
• Monitor for any side effects or unusual symptoms
• Stay hydrated

Expected Recovery Time

• Immediate benefits, but it might take a few hours to feel the full effect

Restrictions or Follow-Up Appointments

• Follow-up with a physician for further doses if necessary
• Regular blood tests to monitor theophylline levels

Alternatives

Other Treatment Options

• Oral theophylline tablets
• Inhaled bronchodilators
• Other medications like corticosteroids

Pros and Cons of Alternatives

• Oral tablets are slower but easier to administer at home
• Inhaled medications may be less invasive but might not always be effective enough

Patient Experience

During the Procedure

• Minimal discomfort from the needle
• A mild stinging sensation from the medication injection

After the Procedure

• Relief from respiratory symptoms
• Monitoring for side effects
• Mild soreness at the injection site is possible

Pain Management and Comfort Measures

• Over-the-counter pain relievers can manage injection site discomfort
• Applying a cold pack to the injection site can reduce swelling and pain