Name of the Procedure:

Injection, carboplatin, 50 mg

Common name(s): Carboplatin injection, Chemotherapy injection

Technical or medical terms: J9045, Carboplatin chemotherapy

Summary

This procedure involves administering carboplatin, a chemotherapy drug, through an injection. It is used to treat various types of cancer by killing or slowing the growth of cancer cells.

Purpose

Medical Conditions:

• Ovarian cancer
• Lung cancer
• Head and neck cancers
• Other cancers as prescribed by an oncologist

Goals or Expected Outcomes:

• Reduce the size of cancerous tumors
• Eliminate cancer cells from the body
• Improve survival rates and quality of life for cancer patients

Indications

Specific Symptoms or Conditions:

• Diagnosis of certain cancers, particularly ovarian or lung cancer

Patient Criteria:

• Based on specific cancer type and stage
• Patient's overall health and medical history

Preparation

Pre-procedure Instructions:

• Fasting may not be required, but follow specific instructions from the healthcare provider
• Adjustments to current medications might be needed
• Stay hydrated unless instructed otherwise

Diagnostic Tests:

• Blood tests to check liver and kidney function
• Complete blood count (CBC)
• Imaging tests to assess cancer's status

Procedure Description

Step-by-Step Explanation:

1. The patient is seated or lying down comfortably.
2. A healthcare professional administers the carboplatin injection via an intravenous (IV) line.
3. The IV line may be placed in the arm or through a central venous catheter for longer treatments.

Tools, Equipment, or Technology Used:

• IV line and related supplies
• Sterile equipment for preparation and administration of the drug

Anesthesia or Sedation:

• Not typically required for the injection itself
• Anti-nausea or pre-medication may be provided to reduce side effects

Duration

• The injection process typically takes about 1 to 2 hours.
• Total time may vary depending on individual patient needs and the treatment plan.

Setting

• Procedure is usually performed in an outpatient clinic, hospital, or specialized chemotherapy center.

Personnel

• Oncologists
• Registered nurses
• Pharmacists
• Other medical support staff as needed

Risks and Complications

Common Risks:

• Nausea and vomiting
• Fatigue
• Low blood cell counts (anemia, neutropenia, thrombocytopenia)
• Hair loss

Rare Risks:

• Allergic reaction to carboplatin
• Kidney damage
• Hearing loss or tinnitus

Possible Complications:

• Infections due to lower immunity
• Management may involve medications, hydration, and supportive care

Benefits

Expected Benefits:

• Effective reduction or elimination of cancerous tumors
• Improved survival rates and quality of life

Realization Time:

• Effects can be seen over several weeks to months, depending on treatment cycles.

Recovery

Post-procedure Care and Instructions:

• Follow-up blood tests to monitor cell counts and organ function
• Hydration and dietary adjustments
• Managing side effects with prescribed medication

Expected Recovery Time:

• Recovery varies; patients usually need a few days to a week to recover from side effects between cycles.
• Follow-up appointments are essential.

Alternatives

Other Treatment Options:

• Different chemotherapy drugs or regimens
• Radiation therapy
• Surgical options
• Targeted therapy
• Immunotherapy

Pros and Cons:

• Alternatives might offer different efficacy or side effect profiles.
• Decisions are made on a case-by-case basis with oncologist guidance.

Patient Experience

During the Procedure:

• Patients might feel a slight pinch or discomfort from the IV insertion.
• Typically, patients experience no pain or mild discomfort during the drug administration.

After the Procedure:

• Common side effects like fatigue, nausea, and feeling generally unwell.
• Pain management and anti-nausea medications are provided as needed to enhance comfort.