Name of the Procedure:

Common Name: Prochlorperazine Maleate Oral Administration
Technical/Medical Term: Oral Prochlorperazine Maleate 5 mg Administration (HCPCS S0183)

Summary

Prochlorperazine maleate is a medication taken orally to help manage nausea and vomiting. It is commonly used in various medical settings, especially for patients undergoing chemotherapy or experiencing severe migraines.

Purpose

Prochlorperazine maleate addresses nausea and vomiting associated with a variety of conditions, including chemotherapy, post-surgical recovery, and severe migraine headaches. The goal is to provide relief from these symptoms and improve the patient's comfort and quality of life.

Indications

• Persistent nausea and vomiting from chemotherapy
• Severe migraine-induced nausea
• Post-operative nausea and vomiting
• Nausea caused by other medical treatments

Suitable for patients who can take oral medications and do not have allergies to phenothiazines.

Preparation

• No special preparation is typically required for taking the oral medication.
• Patients may be advised to take the tablets with food to minimize stomach irritation.
• Review current medications with a healthcare provider to avoid possible interactions.

Procedure Description

1. Administration: The patient swallows the 5 mg Prochlorperazine tablet with a glass of water.
2. Frequency: Dosage frequency and duration will be determined by the healthcare provider based on the patient's condition.
3. Monitoring: Patients might be monitored for effectiveness and side effects.

Duration

The act of taking the medication takes moments, but the effects can last several hours.

Setting

This medication can be taken in various settings, including at home, in a hospital, outpatient clinic, or during hospital stays.

Personnel

• Administered by the patient themselves or with assistance from:
  • Nurses
  • Pharmacists
  • Healthcare Providers

Risks and Complications

• Common Risks: Drowsiness, dizziness, dry mouth, constipation, and blurred vision.
• Rare Risks: Severe allergic reactions, extrapyramidal symptoms (e.g., tremors, muscle spasms), and heart problems.
• Management: Most side effects can be managed under medical supervision.

Benefits

• Effective relief from nausea and vomiting.
• Quick onset of action, usually within 30 minutes to an hour.
• Improved quality of life by alleviating discomfort and related symptoms.

Recovery

• No significant recovery is associated with taking an oral medication.
• Follow any additional instructions provided by the healthcare provider.
• Monitor for side effects and report adverse reactions to a healthcare provider.

Alternatives

• Other antiemetics like ondansetron or metoclopramide.
• Non-medication based interventions such as ginger supplements and acupressure.
• Each alternative has its own pros and cons regarding effectiveness, side effects, and cost.

Patient Experience

• Most patients may feel relief from nausea within an hour.
• Some may experience mild side effects such as drowsiness or dry mouth.
• Heavy machinery or driving should be avoided if drowsiness occurs.
• Comfort measures include taking the medication with food and staying hydrated.