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Prior Authorization Approval Criteria Intravenous immunoglobulin and subcutaneous immunoglobulin Generic name: Intravenous immunoglobulin (IVG) and subcutaneous immunoglobulin (SCI) Brand name:Refer
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How to fill out intravenous immunoglobulin and subcutaneous

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How to fill out intravenous immunoglobulin and subcutaneous

01
To fill out intravenous immunoglobulin, follow these steps:
02
- Wash your hands thoroughly with soap and water.
03
- Gather all the necessary equipment, including the vial of immunoglobulin, an infusion set, and a sterile syringe.
04
- Remove the protective cap from the vial and clean the rubber top with an alcohol swab.
05
- Draw the required amount of immunoglobulin into the sterile syringe.
06
- Attach the infusion set to the syringe and prime the line to remove any air bubbles.
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- Insert the needle of the infusion set into a vein, usually in the arm or hand.
08
- Start the infusion at the prescribed rate and monitor the patient for any adverse reactions.
09
- After the infusion is complete, properly dispose of all used equipment and wash your hands again.
10
To fill out subcutaneous immunoglobulin, follow these steps:
11
- Wash your hands thoroughly with soap and water.
12
- Gather all the necessary equipment, including the vial of immunoglobulin, a subcutaneous infusion set, and a sterile syringe.
13
- Remove the protective cap from the vial and clean the rubber top with an alcohol swab.
14
- Draw the required amount of immunoglobulin into the sterile syringe.
15
- Attach the subcutaneous infusion set to the syringe and prime the line to remove any air bubbles.
16
- Clean the injection site with an alcohol swab.
17
- Insert the needle of the subcutaneous infusion set into the fatty tissue just under the skin, typically in the abdomen or thigh.
18
- Start the infusion at the prescribed rate and monitor the patient for any adverse reactions.
19
- After the infusion is complete, properly dispose of all used equipment and wash your hands again.

Who needs intravenous immunoglobulin and subcutaneous?

01
Intravenous immunoglobulin and subcutaneous immunoglobulin are used for individuals who have certain immune system deficiencies or disorders.
02
This includes individuals with primary immunodeficiency diseases, such as common variable immunodeficiency (CVID) or X-linked agammaglobulinemia (XLA).
03
It may also be prescribed for individuals with autoimmune diseases, such as immune thrombocytopenic purpura (ITP) or Kawasaki disease.
04
Additionally, intravenous or subcutaneous immunoglobulin may be used as a preventative measure for certain infections in individuals with compromised immune systems.
05
The decision to use intravenous or subcutaneous administration will depend on the specific condition and the patient's medical history and needs.
06
It is important to consult with a healthcare provider for an accurate diagnosis and appropriate treatment plan.
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Intravenous immunoglobulin and subcutaneous are forms of immunoglobulin therapy that involve the administration of antibodies directly into the bloodstream or under the skin.
Healthcare providers or facilities that administer intravenous immunoglobulin and subcutaneous therapy are required to file the necessary documentation.
The forms for intravenous immunoglobulin and subcutaneous therapy typically require information such as patient demographics, treatment details, and provider information.
The purpose of intravenous immunoglobulin and subcutaneous therapy is to boost the body's immune system response, particularly in individuals with immunodeficiency disorders.
Information such as patient identification, treatment dates, dosage administered, and any adverse reactions must be reported on the forms.
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