Name of the Procedure:

Home Infusion Therapy, Hydration Therapy; Medical term: HCPCS Code S9376

Summary

Home infusion therapy for hydration involves administering fluids directly into a vein to treat dehydration, with more than two liters but no more than three liters per day. It includes professional pharmacy services, care coordination, and all necessary supplies and equipment.

Purpose

Hydration therapy treats and prevents dehydration, which can result from conditions like gastrointestinal disorders, infections, or inadequate fluid intake. The procedure aims to restore fluid balance, improve overall health, and reduce symptoms like dizziness, weakness, and confusion.

Indications

• Symptoms of dehydration: dry mouth, increased thirst, decreased urine output, dark-colored urine, fatigue, dizziness.
• Conditions causing fluid loss: vomiting, diarrhea, fever, excessive sweating.
• Medical conditions requiring controlled fluid intake (e.g., kidney or heart disease).

Preparation

• No specific fasting or medication adjustments required.
• Patients should ensure a comfortable home environment is prepared for the visit.
• A basic health assessment may be conducted by the provider before starting therapy.

Procedure Description

1. A healthcare professional visits the patient's home.
2. An intravenous (IV) line is set up, usually in the arm.
3. The correct volume and type of hydration solution are prepared.
4. The solution is infused over several hours.
5. The healthcare professional monitors the patient for any reactions.

Tools and Equipment:

• IV bags and tubing
• Infusion pump if required
• Sterile needles and catheters

Anesthesia or Sedation:

• Not typically necessary.

Duration

The infusion process usually takes between 2 to 8 hours, depending on the volume administered and the patient’s condition.

Setting

Performed in the patient’s home.

Personnel

• Registered Nurse (RN) for administration and monitoring
• Pharmacist for preparing the hydration solution
• Care coordinator for overall management and coordination of services

Risks and Complications

• Common: Mild pain or discomfort at the IV site, temporary swelling or bruising.
• Rare: Infection at IV site, allergic reactions, fluid overload, electrolyte imbalance.

Benefits

• Rehydration leading to improved overall health and well-being.
• Symptom relief from dehydration.
• Convenience of receiving therapy at home.
• Typically noticeable improvement within hours after completing the procedure.

Recovery

• Continue normal activities as tolerated.
• Stay hydrated by drinking fluids as recommended.
• Monitor the IV site for signs of infection.
• Follow-up appointment to assess and manage ongoing care needs if necessary.

Alternatives

• Oral rehydration solutions.
• Hospital or clinic-based IV hydration therapy.
• Pros: Home therapy offers comfort and convenience.
• Cons: Less immediate supervision compared to a medical facility.

Patient Experience

• Patients may feel the insertion of the IV needle but should not experience significant pain.
• Continuous monitoring ensures comfort and safety.
• Pain management includes local anesthetics or cold packs for the IV site if needed.
• Patients can typically resume normal activities soon after the procedure.