Name of the Procedure:

Infusion, D5W, 1000 cc (HCPCS Code: J7070)

Summary

An infusion of 1000 cubic centimeters (cc) of Dextrose 5% in Water (D5W) is a common medical procedure where a sugar-water solution is administered directly into the bloodstream via an intravenous (IV) line. This solution provides hydration, calories, and electrolytes.

Purpose

D5W infusions are used to treat dehydration, provide carbohydrates, and maintain proper fluid balance in the body. They can also be used as a vehicle for the delivery of other medications.

Indications

• Dehydration
• Electrolyte imbalance
• Hypoglycemia (low blood sugar)
• Nutritional support
• As a diluent for intravenous medications
• Surgery or procedures requiring IV fluids

Preparation

• No special fasting is required.
• Notify healthcare providers of any allergies or adverse reactions to IV fluids.
• Inform the healthcare team about current medications and medical history.
• Vital signs and basic blood tests may be performed prior to the infusion.

Procedure Description

1. The patient will be asked to sit or lie down comfortably.
2. A healthcare professional typically cleans the insertion site on the arm or hand with an antiseptic solution.
3. An IV catheter will be inserted into a vein.
4. The D5W solution is connected to the IV line, and the flow rate is set by the healthcare provider.
5. The solution is infused into the bloodstream over a period of time, which may vary based on the patient’s condition and needs.

Duration

The infusion typically takes 1 to 2 hours, depending on the flow rate and patient requirements.

Setting

This procedure is commonly performed in hospitals, outpatient clinics, or urgent care centers.

Personnel

• Registered Nurse (RN) or Licensed Practical Nurse (LPN)
• Physician or Nurse Practitioner for oversight

Risks and Complications

• Common risks: mild pain or discomfort at the IV site, slight swelling or bruising.
• Rare risks: infection at the IV site, allergic reaction, fluid overload, or electrolyte imbalance.

Benefits

• Rapid rehydration
• Caloric supply for energy
• Correction of electrolyte imbalances
• Administration of medications through the IV line

Recovery

• Post-infusion, the IV catheter is removed and the site is bandaged.
• Patients are usually advised to monitor for signs of infection, such as redness, swelling, or pain at the IV site.
• Normal activities can typically be resumed immediately unless other treatments or procedures require rest.

Alternatives

• Oral hydration with fluids and electrolytes.
• Other types of IV fluids (e.g., saline or lactated Ringer's solution) depending on the patient's specific needs.
• Parenteral nutrition in severe cases requiring long-term or high-caloric support.

Patient Experience

• During the procedure, patients might feel a slight pinch when the IV is inserted and may experience mild discomfort at the insertion site.
• The infusion itself should be painless.
• After the infusion, patients may feel refreshed and more hydrated, but should report any unusual symptoms to their healthcare provider. Pain management can include over-the-counter pain relief if necessary.