Name of the Procedure:

Injection, Metronidazole, 500 mg (S0030)

Common Names: Metronidazole injection, Flagyl IV

Technical Terms: IV Metronidazole, Intravenous (IV) Metronidazole, S0030

Summary

An injection of Metronidazole, 500 mg, is a medical treatment where a healthcare professional administers an antibiotic medication directly into the bloodstream via an intravenous (IV) line.

Purpose

This procedure addresses bacterial infections and certain parasitic infections. It is commonly used when oral administration is not feasible or effective. The goal is to eradicate the infection quickly and effectively.

Indications

• Severe bacterial infections in anaerobic environments
• Bacterial vaginosis
• Pelvic inflammatory disease
• Trichomoniasis
• Preoperative prophylaxis for colorectal surgery
• Infections caused by Clostridium difficile

Patient criteria might include severe infection, intolerance to oral medication, or need for rapid drug uptake.

Preparation

• The patient might need to fast for a few hours beforehand.
• Inform the doctor of any allergies, previous adverse reactions to antibiotics, or current medications.

• Diagnostic tests such as blood tests, urine tests, or imaging may be required to identify the infection.

  Procedure Description

  1. The patient is seated or lying down comfortably.
  2. A healthcare professional cleans the injection site (usually a vein in the arm).
  3. An IV catheter is inserted into the vein.
  4. The Metronidazole solution (500 mg) is administered slowly through the IV.
  5. The infusion takes about 30 to 60 minutes to complete.
  6. After administration, the IV catheter is removed, and a bandage is applied.

Tools: IV catheter, antiseptic wipes, Metronidazole solution, syringe.

Anesthesia or Sedation: Not typically required, but local anesthetic may be applied to the injection site for comfort.

Duration

The administration takes approximately 30 to 60 minutes.

Setting

The procedure is typically performed in a hospital, outpatient clinic, or surgical center.

Personnel

• Registered Nurse (RN) or Licensed Practical Nurse (LPN): Administers the injection.
• Physician: Prescribes the medication and oversees treatment.
• Patient Care Technician: Assists during the procedure if required.

Risks and Complications

• Common Risks: Nausea, headache, metallic taste in the mouth, injection site reactions.
• Rare Risks: Allergic reactions, neurotoxicity, peripheral neuropathy, seizures.
• Management: Close monitoring during and after the infusion, with immediate treatment for any adverse reactions.

Benefits

• Rapid onset of action against infections.
• Effective eradication of bacteria and parasites.
• Improvement in symptoms typically seen within 24-48 hours.

Recovery

• Keep the injection site clean and dry.
• Monitor for any signs of allergic reaction or side effects.
• Follow-up appointment may be scheduled to assess treatment efficacy.

Restrictions: Limited activity for a short period, if experiencing side effects like dizziness.

Alternatives

• Oral Metronidazole: Suitable for less severe infections but might have slower onset.
• Other antibiotics: Depending on the type of infection and patient’s medical history.
• Pros: Less invasive, fewer side effects.
• Cons: Potentially less effective or slower to act compared to IV administration.

Patient Experience

• The patient might feel a minor pinch or stinging sensation at the injection site.
• Some might experience a metallic taste in the mouth or mild nausea.
• Pain management: Over-the-counter pain relievers may be used if necessary.
• Comfort measures: Hydration and rest post-procedure.

This treatment is generally well-tolerated, and discomfort usually subsides shortly after the procedure.