Sedentary Work Exerting up to 10 pounds (4.5 kg) of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Light Work Exerting up to 20 pounds (9.1 kg) of force occasionally and/or up to 10 pounds (4.5 kg) of force frequently, and/or negligible amount of force constantly to move objects. Physical demand requirements are in excess of those for Sedentary Work. Light Work usually requires walking or standing to a significant degree. However, if the use of the arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most the time, the job is rated Light Work.

Medium Work Exerting up to 50 (22.7 kg) pounds of force occasionally, and/or up to 25 pounds (11.3 kg) of force frequently, and/or up to 10 pounds (4.5 kg) of forces constantly to move objects.

Heavy Work Exerting up to 100 pounds (45.4 kg) of force occasionally, and/or up to 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Very Heavy Work Exerting in excess of 100 pounds (45.4 kg) of force occasionally, and/or in excess of 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Job Classification

In most duration tables, five job classifications are displayed. These job classifications are based on the amount of physical effort required to perform the work. The classifications correspond to the Strength Factor classifications described in the United States Department of Labor's Dictionary of Occupational Titles. The following definitions are quoted directly from that publication.

Sedentary Work Exerting up to 10 pounds (4.5 kg) of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Light Work Exerting up to 20 pounds (9.1 kg) of force occasionally and/or up to 10 pounds (4.5 kg) of force frequently, and/or negligible amount of force constantly to move objects. Physical demand requirements are in excess of those for Sedentary Work. Light Work usually requires walking or standing to a significant degree. However, if the use of the arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most the time, the job is rated Light Work.

Medium Work Exerting up to 50 (22.7 kg) pounds of force occasionally, and/or up to 25 pounds (11.3 kg) of force frequently, and/or up to 10 pounds (4.5 kg) of forces constantly to move objects.

Heavy Work Exerting up to 100 pounds (45.4 kg) of force occasionally, and/or up to 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Very Heavy Work Exerting in excess of 100 pounds (45.4 kg) of force occasionally, and/or in excess of 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Intravenous Therapy


Specialists

  • Emergency Medicine Physician
  • General Surgeon
  • Internal Medicine Physician

Comorbid Conditions

Factors Influencing Duration

The length of disability is dependent on the underlying condition.

Medical Codes

ICD-9-CM:
99.10 - Injection or Infusion of Thrombolytic Agent; Alteplase; Anistreplase; Reteplase; Streptokinase; Tissue Plasminogen Activator (TPA); Urokinase
99.11 - Injection of Rh Immune Globulin; Injection of Anti-D (Rhesus) Globulin; RhoGAM
99.12 - Immunization for Allergy; Desensitization
99.13 - Immunization for Autoimmune Disease
99.14 - Injection or Infusion of Immunoglobulin; Injection of Immune Sera; Injection or Infusion of Gamma Globulin
99.15 - Parenteral Infusion of Concentrated Nutritional Substances; Hyperalimentation; Total Parenteral Nutrition [TPN]; Peripheral Parenteral Nutrition [PPN]
99.16 - Injection of antidote; Injection of: Antivenin, Heavy Metal Antagonist
99.17 - Injection of Insulin
99.18 - Injection or Infusion of Electrolytes
99.19 - Injection of Anticoagulant
99.20 - Injection or Infusion of Platelet Inhibitor; Glycoprotein IIB/IIIa Inhibitor; GP IIB/IIIa Inhibitor; GP IIB-IIIa Inhibitor
99.21 - Injection of Antibiotic
99.22 - Injection of Other Anti-infective
99.23 - Injection of Steroid; Injection of Cortisone; Subdermal Implantation of Progesterone
99.24 - Injection of Other Hormone
99.25 - Injection of Infusion of Cancer Chemotherapeutic Substance; Chemoembolization; Injection of Infusion of Antineoplastic Agent
99.26 - Injection of Tranquilizer
99.27 - Iontophoresis
99.28 - Injection or Infusion of Biological Response Modifier [BRM] as an Antineoplastic Agent; Low-dose Interleukin-2 (IL-2) Therapy; Immunotherapy, Antineoplastic; Interleukin Therapy; Tumor Vaccine
99.29 - Injection or Infusion of Other therapeutic or Prophylactic Substance

How Procedure is Performed

Generally, an intravenous (IV) catheter must be placed before beginning IV therapy, although in some situations, medication may be injected directly into a vein using a needle and syringe. A catheter is a thin, hollow, plastic tube that is introduced through the skin into a vein. Several types of catheters are available. The choice depends on location of insertion and the length of time the catheter needs to remain in use.

The technique for placing a catheter into a vein (venipuncture) varies, depending on the vein to be used (peripheral or central) and on the type of catheter. Before placing the catheter, the solution, tubing, and delivery system are prepared. The catheters most commonly used for a peripheral IV have a fine needle inside the catheter, which is necessary for puncturing the skin and vein during placement.

To insert a peripheral catheter, a tourniquet is placed above the insertion site, filling the vein with blood, making it easier to find and enter the vein. The site is cleansed with an antibacterial solution to prevent infection. A local anesthetic may be given just under the skin to ease any discomfort that may occur during insertion of the catheter. The catheter is inserted through the skin and into the vein. After entry, the catheter is gently threaded into the vein and the tourniquet removed. The needle used for introduction is removed, and the IV tubing that is connected to the solution is attached to the catheter, allowing the solution to drip into the vein. The catheter and tubing are securely taped in place.

Placement of a central catheter varies. Some types of central catheters used for long-term outpatient therapy (peripherally inserted central catheter, PICC lines) are placed by a physician or specially trained nurse. Central catheters may be placed in a large vein in the upper chest area (subclavian vein) or in the neck (internal jugular vein). There is some variation in technique, depending on the type of catheter and the vein to be used. Generally, however, the individual is positioned very carefully, with the head and shoulders slightly lower than the body (Trendelenburg's position), so as to fill the veins with blood (dilate) and to avoid introducing an air embolus. The skin is cleansed with a surgical scrub, and small surgical drapes are placed around the site to help prevent infection. A needle and syringe are used to enter the vein. The syringe is then removed from the needle, and a small guidewire is placed through the needle into the vein; afterward the needle is removed leaving, the guidewire in place. The catheter is inserted into the vein over the guidewire, the guidewire is removed, and the IV tubing connected to the solution is attached to the catheter, allowing infusion to begin. A suture is often used to secure the catheter in place. A dressing is placed over the site, and the tubing is taped to the skin. A plain solution is slowly infused until a chest x-ray confirms that the catheter is in the correct position and that there has been no accidental injury to the lungs. After confirmation of placement, the desired solution at the appropriate rate can be administered.

Vascular access devices are placed by a surgeon through a small incision located in the chest area. This type of IV infusion device is usually placed during a surgical procedure using an x-ray machine (fluoroscopy) to guide placement. A small incision is made, and the catheter is inserted into the vein (often the subclavian, jugular, or cephalic vein). A pocket is made in the subcutaneous tissue, through which the catheter is tunneled. The reservoir is then placed in the pocket and attached to the catheter. The reservoir and the catheters must be flushed with an anticoagulant solution to keep them from clotting closed. The incision is sutured closed and a dressing placed.

Source: Medical Disability Advisor






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