Name of the Procedure:

Injection of Promazine Hydrochloride
Common Name(s): Promazine HCL Injection, Antipsychotic Injection
Technical/Medical Term: Intramuscular Injection of Promazine Hydrochloride, J2950

Summary

Promazine Hydrochloride injection involves administering a dose of promazine, an antipsychotic medication, into a muscle. It is used to manage symptoms of certain psychiatric disorders and acute agitation.

Purpose

Medical Conditions Addressed:

• Schizophrenia
• Severe agitation and behavioral disturbances in psychiatric disorders

Goals or Expected Outcomes:

• Reduction in psychotic symptoms
• Stabilization of mood and behavior
• Immediate calming effect in cases of acute agitation

Indications

Symptoms or Conditions:

• Hallucinations
• Delusions
• Acute agitation and severe anxiety
• Disorganized thinking

Patient Criteria:

• Diagnosed with psychiatric conditions like schizophrenia
• Experiencing a severe episode that requires rapid intervention

Preparation

Pre-procedure Instructions:

• Inform the healthcare provider of any allergies, especially to medications.
• Disclose all current medications to avoid interactions.

• No special fasting is typically required.

  Pre-procedure Assessments:

• Complete medical and medication history
• Vital sign monitoring
• Baseline mental status evaluation

Procedure Description

1. Preparation: The healthcare professional will sanitize the injection site, usually the upper arm or buttock.
2. Injection: Using a sterile syringe, the professional will inject up to 25 mg of promazine HCL intramuscularly.
3. Post-Injection: The injection site may be massaged gently to aid absorption.

Tools Used: Syringe, Needle, Sanitizing wipes or alcohol pads.

Anesthesia: Not typically required; local discomfort may be minimized.

Duration

The injection process generally takes a few minutes, though preparation and monitoring may extend the visit to around 15-20 minutes.

Setting

Promazine HCL injections are usually performed in settings such as:

• Outpatient clinics
• Hospitals
• Psychiatric facilities

Personnel

Healthcare Professionals Involved:

• physician or psychiatrist
• Registered Nurse (RN)
• Medical Assistant (under supervision)

Risks and Complications

Common Risks:

• Pain or discomfort at the injection site
• Drowsiness or dizziness

Rare Risks:

• Allergic reactions
• Severe drop in blood pressure
• Extrapyramidal symptoms (like tremors or involuntary movements)

Management: Symptoms are managed with antihistamines, hydration, or changes in medication.

Benefits

Expected Benefits:

• Rapid relief from severe psychiatric symptoms
• Enhanced patient safety and stabilization
• Quick onset of therapeutic effects within 30-60 minutes

Recovery

Post-Procedure Care:

• Observation for immediate adverse reactions
• Hydration and rest
• Patients might need to avoid operating machinery until the drowsiness subsides

Recovery Time:

• Immediate relief typically seen, with follow-up evaluations to monitor progress.

Alternatives

Other Treatment Options:

• Oral antipsychotic medications
• Other injectable antipsychotics

Pros and Cons:

• Oral medications take longer to act but are less invasive.
• Other injectables might offer different side effect profiles or durations of action.

Patient Experience

During the Procedure:

• Mild discomfort or pain at the injection site is common.

  After the Procedure:

• Possible drowsiness or mild sedation.

• Careful monitoring by healthcare personnel to ensure safety and manage any immediate side effects.

  Pain Management and Comfort:

• Topical anesthetics may be used for those sensitive to injections.
• Pre- and post-injection reassurance and support to minimize anxiety.