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Injection, hydroxyzine hcl, up to 25 mg

HCPCS code

Name of the Procedure:

Injection of Hydroxyzine Hydrochloride, up to 25 mg (HCPCS Code: J3410)

Common name(s): Hydroxyzine injection
Technical/medical term: Hydroxyzine hydrochloride intramuscular injection

Summary

Hydroxyzine HCL injection is a medical procedure where a specific dose of hydroxyzine hydrochloride, up to 25 mg, is administered via an intramuscular injection. This medication is commonly used for its antihistaminic, sedative, and anxiolytic properties.

Purpose

The procedure is intended to alleviate symptoms of itching, anxiety, or tension. It may also be used as a sedative to manage pre-operative anxiety or to control nausea and vomiting.

Goals/Expected outcomes:

  • Relief from allergic reactions, including itching and rashes
  • Reduction of anxiety and tension
  • Sedation in pre-operative settings
  • Control of nausea and vomiting

Indications

  • Severe itching or allergic reactions
  • Anxiety or tension disorders
  • Pre-operative sedation
  • Management of nausea and vomiting

Patient criteria:

  • Patients experiencing severe allergic reactions that are not controlled by oral medication
  • Patients with anxiety or tension that requires prompt relief
  • Patients needing pre-operative sedation
  • Patients suffering from acute episodes of nausea or vomiting

Preparation

  • No fasting typically required.
  • Review and adjust current medications if necessary.
  • Possibly perform allergy tests to confirm suitability for hydroxyzine.

Procedure Description

  1. The patient is positioned comfortably, typically sitting or lying down.
  2. The injection site (upper arm, buttocks, or thigh) is cleaned with an antiseptic.
  3. Using a sterile needle and syringe, up to 25 mg of hydroxyzine HCL is drawn.
  4. The needle is inserted into the muscle at a 90-degree angle.
  5. The medication is injected slowly to minimize discomfort.
  6. The site is then massaged gently to promote absorption and reduce soreness.
  7. A small bandage is applied to the injection site.

Tools/Equipment: Sterile needle and syringe, antiseptic wipes, bandage

Anesthesia or sedation: Not typically required

Duration

The procedure typically takes about 5-10 minutes to complete.

Setting

The procedure is generally performed in an outpatient clinic, hospital, or healthcare provider’s office.

Personnel

  • Healthcare provider (e.g., physician, nurse, or physician’s assistant)
  • Support staff, if necessary

Risks and Complications

Common risks:

  • Pain or soreness at the injection site
  • Drowsiness or sedation
  • Dry mouth

Rare risks:

  • Allergic reactions
  • Injection site infection
  • Dizziness
  • Blurred vision

Possible complications:

  • Anaphylaxis, managed by immediate medical intervention
  • Severe sedation, monitored and managed by healthcare professionals

Benefits

  • Rapid relief from symptoms of itching and allergic reactions
  • Quick reduction of anxiety and tension
  • Effective pre-operative sedation
  • Control of nausea and vomiting

Expected benefit realization: Immediate to within a few hours

Recovery

Post-procedure care:

  • Monitor for any adverse reactions.
  • Avoid operating heavy machinery or driving if drowsy.
  • Follow specific patient instructions provided by the healthcare provider.

Expected recovery time: Typically minimal; most patients can resume normal activities shortly after the procedure.

Alternatives

Other treatment options:

  • Oral antihistamines (e.g., cetirizine, loratadine)
  • Other anti-anxiety medications (e.g., benzodiazepines)
  • Non-pharmacological therapies for anxiety (e.g., therapy, relaxation techniques)
  • Intravenous medications for nausea and vomiting

Pros and cons of alternatives:

  • Oral medications might be slower to take effect and less effective for severe symptoms.
  • Non-pharmacological options might require longer-term commitment and may not provide immediate relief.
  • IV medications might be more effective for severe nausea but require more intensive administration settings.

Patient Experience

During the procedure:

  • Mild discomfort or sting from the injection

After the procedure:

  • Possible drowsiness or sedation
  • Relief of symptoms within hours

Pain management and comfort measures:

  • Pain at the injection site is usually minimal and can be managed with over-the-counter pain relievers if necessary.
  • Patients are advised to rest if they feel drowsy and avoid activities requiring mental alertness.

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