Why is hypodermoclysis used?
Hypodermoclysis is a simple, safe and effective technique for subcutaneously administering fluids to a patient who requires hydration. It avoids the need for venous access in patients who, at the end of life, often have very poor veins.
Where do you put hypodermoclysis?
SITE. In ambulatory patients, hypodermoclysis sites include the abdomen, upper chest, above the breast, over an intercostal space and the scapular area. In bedridden patients, preferred sites are the thighs, the abdomen and the outer aspect of the upper arm.
What type of fluid should not be given subcutaneously?
Fluids containing dextrose or sugar solutions should be avoided. These can result in infection at the site of injection or severe skin irritation resulting in possible necrosis (dead tissue).
What are some of the potential risks of receiving subcutaneous intravenous fluids?
Safety of Subcutaneous Infusion Potential local adverse reactions of subcutaneous infusion include edema, erythema, pain, and ecchymosis. Some local edema, particularly in the genital area, is normal and typically resolves within hours of stopping the infusion.
How much volume can you give subcutaneously?
Large subcutaneous injection volumes are associated with pain. In this sense, the maximum volume generally accepted is around 1.5 ml, although volumes of up to 3 ml are well tolerated when injected in the abdomen.
How often does a subcutaneous butterfly need to be changed?
The subcutaneous site must be changed every seven (7) days or sooner, if necessary. When changing sites, the chosen sites should be rotated to avoid using the same site repeatedly.
Can you fluid overload with subcutaneous fluids?
If subcutaneous fluids are commenced, they need to be reviewed every 24 hours to check whether there is any benefit to the patient. An increase in fluid volume at the end of life can overload the circulatory system and result in pulmonary oedema and increased respiratory secretions.
How much fluid can you give subcutaneously?
Fluid can be delivered subcutaneously by gravity at a rate of 1 mL per minute at one site; thus, about 1.5 L can be delivered at one site and 3 L at two separate sites over 24 hours.
Do you flush subcutaneous butterfly?
Note: Do not flush the subcutaneous infusion device before or after use unless more than 10% of medication is lost in dead space and instructions have been given to flush the device.
How fast can you run subcutaneous fluids?
Generally prescribed at a rate of 500ml/8 to 12 hours, but rate of infusion will vary by patient. Infusion site should be under daily review for signs of infection, fluid accumulation or discomfort. Patient should be under daily review for fluid accumulation or overload.
How long can a Subcut butterfly stay in?
The BD Saf-T-IntimaTM can be left insitu for up to 14 days, but may need to be changed more frequently if indicated or if complications are noted. Some medications may cause pain at the site whilst injecting (for example GCSF and ClexaneTM).