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Coder-To-Coder Forum
Started by miagirl at 10-22-2009 10:54 AM. Topic has 5 replies.
  
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 10-22-2009, 10:54 AM
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miagirl
Joined on 01-13-2009
Posts 11
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When a patient is being treated for hypokalemia and is given an IV infusion of KCL, is this considered a therapeutic infusion (96365) or hydration 96360???
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11-04-2009, 9:39 AM
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handmaid
Joined on 09-19-2006
Georgia
Posts 43
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Re: hydration vs therapeutic
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Potassium (KCl) is an electolyte so the infusion is considered a hydration infusion.
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12-28-2009, 4:33 PM
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rockymeet
Joined on 09-08-2009
jaipur
Posts 9
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Re: hydration vs therapeutic
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 handmaid wrote: | | Potassium (KCl) is an electolyte so the infusion is considered a hydration infusion. |
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Yes he is right nice post thanks for reply :)
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06-20-2010, 2:18 AM
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ahmudg
Joined on 06-19-2010
Posts 3
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Re: hydration vs therapeutic
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Hydration should be more than 30 minutes as qualify as theuraputic. Hydration less than 30 minutes is not coded
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08-06-2010, 7:35 AM
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amonialogin
Joined on 08-06-2010
Posts 3
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Re: hydration vs therapeutic
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Folate antagonists were among the first antineoplastic agents to be
developed. In 1948, aminopterin was used to induce remission in
childhood acute lymphoblastic leukemia (ALL), and the related agent
methotrexate (MTX) is still an important component of modern treatment
for ALL as well as a number of other hematologic malignancies [1].
MTX was the first drug shown to cure a cancer when given as
monotherapy, and single agent MTX remains a cornerstone of treatment
for malignant gestational trophoblastic disease [2]. The
broad range of antitumor activity seen with MTX is reflected in the
large number of malignant conditions for which MTX is a component of
the treatment regimen (table 1).
Furthermore, in addition to antiproliferative activity, MTX also has
antiinflammatory and immunomodulating properties, leading to its use in
a wide range of doses for a broad range of therapeutic indications
across multiple specialties (table 2). Definition of high-dose MTX — The
side effect profile of MTX varies markedly according to dose. Regimens
containing MTX are classified as high, intermediate, or low-dose: - Most
clinicians reserve the term high-dose MTX (HDMTX) for doses ≥500 mg/m2,
as are used for central nervous system (CNS) prophylaxis in patients
with leukemia and high-risk lymphoma, and for the treatment of
leptomeningeal metastases, primary CNS lymphoma, and osteosarcoma.
These regimens deliver an otherwise lethal dose of MTX in a 4 to 36
hour infusion, followed by a two to three day period of multiple
leucovorin doses to terminate the toxic effect of MTX (termed
leucovorin "rescue"). Successful rescue by leucovorin depends on rapid
elimination of MTX by the kidneys, which requires aggressive
pretreatment as well as posttreatment hydration and urinary
alkalinization. The main toxicities of HDMTX are elevated serum
transaminase levels and renal insufficiency, which can delay drug
clearance.
- Doses between 50 and 500 mg/m2, as used for
malignant gestational trophoblastic disease (GTD), are considered
intermediate-dose MTX. In general, these patients do not require
aggressive hydration or urinary alkalinization. Leucovorin rescue is
rarely needed with doses ≤250 mg/m2 unless unexpected toxicity is
encountered. (See "Malignant gestational trophoblastic disease: Staging and treatment", section on 'Methotrexate with and without leucovorin'.)
download software
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09-03-2010, 5:25 AM
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amandak695
Joined on 09-03-2010
Posts 1
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Re: hydration vs therapeutic
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| amonialogin wrote: | Folate antagonists were among the first antineoplastic agents to be
developed. In 1948, aminopterin was used to induce remission in
childhood acute lymphoblastic leukemia (ALL), and the related agent
methotrexate (MTX) is still an important component of modern treatment
for ALL as well as a number of other hematologic malignancies [1].
MTX was the first drug shown to cure a cancer when given as
monotherapy, and single agent MTX remains a cornerstone of treatment
for malignant gestational trophoblastic disease [2]. The
broad range of antitumor activity seen with MTX is reflected in the
large number of malignant conditions for which MTX is a component of
the treatment regimen (table 1).
Furthermore, in addition to antiproliferative activity, MTX also has
antiinflammatory and immunomodulating properties, leading to its use in
a wide range of doses for a broad range of therapeutic indications
across multiple specialties (table 2). Definition of high-dose MTX — The
side effect profile of MTX varies markedly according to dose. Regimens
containing MTX are classified as high, intermediate, or low-dose: - Most
clinicians reserve the term high-dose MTX (HDMTX) for doses ≥500 mg/m2,
as are used for central nervous system (CNS) prophylaxis in patients
with leukemia and high-risk lymphoma, and for the treatment of
leptomeningeal metastases, primary CNS lymphoma, and osteosarcoma.
These regimens deliver an otherwise lethal dose of MTX in a 4 to 36
hour infusion, followed by a two to three day period of multiple
leucovorin doses to terminate the toxic effect of MTX (termed
leucovorin "rescue"). Successful rescue by leucovorin depends on rapid
elimination of MTX by the kidneys, which requires aggressive
pretreatment as well as posttreatment hydration and urinary
alkalinization. The main toxicities of HDMTX are elevated serum
transaminase levels and renal insufficiency, which can delay drug
clearance.
- Doses between 50 and 500 mg/m2, as used for
malignant gestational trophoblastic disease (GTD), are considered
intermediate-dose MTX. In general, these patients do not require
aggressive hydration or urinary alkalinization. Leucovorin rescue is
rarely needed with doses ≤250 mg/m2 unless unexpected toxicity is
encountered. (See "Malignant gestational trophoblastic disease: Staging and treatment", section on 'Methotrexate with and without leucovorin'.)
download software
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Thanks you for the post.
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