AHA Coding Clinic® for HCPCS - 2004 Issue 1

IV Administration - What IV is used and why: A brief overview

Danelle Kelly, R.N., CPC, CPC-HD J Kelly & Associates, Inc.Schaumburg, Illinois It is important to understand that the patient’s physical condition, age and medical history are primary in determining which IV solution to use. For example, a patient with congestive heart failure (CHF), end stage renal disease (ESRD) or diabetes has medical concerns that are different from those of an otherwise healthy adult requiring an IV. The CHF and the ESRD patients have fluid and sodium restrictions whereas the diabetic has sugar (dextrose/glucose) restrictions. The metabolic needs of the patient are easily determined by laboratory...

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