Hypodermoclysis: Administering Fluids to Patients

64 Questions

What is the primary advantage of this IV insertion method?

Increased patient comfort and ease of insertion

Why is it essential to assess the IV solution and remove it from the outer bag?

To verify the solution, rate, and frequency

What is a significant disadvantage of this IV insertion method?

Slow rate of infusion and limited fluids administration

What is the purpose of massaging the infusion site?

To enhance edema absorption

What is a contraindication for this IV insertion method?

All of the above

What should be done to the infusion site during the post-procedure steps?

Date and initial dressing and tubing

Why is it essential to check the patient and infusion site after one hour?

To monitor for edema, leakage, or disconnection

What should be done if the patient exhibits signs of edema or other complications?

Remove the catheter and reassess the site

What is the primary advantage of hypodermoclysis over IV therapy in patients who require hydration?

It avoids the need for venous access

What is the maximum volume of fluid that can be administered in 24 hours using hypodermoclysis in 2 sites?

3000 ml/24 hours

What is the recommended angle of insertion for the small gauge needle in hypodermoclysis?

45-60 degree angle

What is the purpose of adding Hyaluronidase to the fluid in hypodermoclysis?

To enhance fluid absorption

What is the recommended frequency for changing the tubing in hypodermoclysis?

Every 96 hours

What is the recommended location for insertion of the small gauge needle in hypodermoclysis?

Outer upper arms, upper back between scapula, abdomen, and lateral aspects of thighs

What is the purpose of massaging the site in hypodermoclysis?

To enhance edema absorption

What is the alternative name for hypodermoclysis?

Clysis

What is the primary indication for using hypodermoclysis in patients?

Mild to moderate dehydration

What is the recommended frequency for changing the site of subcutaneous fluid administration in hypodermoclysis?

Every 48 hours

What is the purpose of adding KCl to the fluid in hypodermoclysis?

To treat electrolyte imbalance

What is the maximum volume of fluid that can be administered in 24 hours using hypodermoclysis in 2 sites?

3000 ml

What is the recommended gauge of the needle used for hypodermoclysis?

22-25 gauge

What is the purpose of using 0.9% NaCl or LR in hypodermoclysis?

To provide hydration

What is the recommended location for insertion of the small gauge needle in hypodermoclysis?

Outer upper arms, upper back, abdomen, or lateral aspects of thighs

What is the purpose of delivering the fluid with a pump in hypodermoclysis?

To provide a consistent flow rate

What is the primary purpose of spiking the new bag with the dominant hand?

To enhance patient comfort and ease of insertion

What should be done to the infusion site during the preparation step?

Cleanse the site with chlorhexidine

What is the recommended rate of infusion for this IV insertion method?

No more than 1 ml/min

What should be done if the patient exhibits signs of fluid overload during the post-procedure steps?

Remove the catheter

What is the primary purpose of assembling the fluid and tubing during the procedure?

To prime the line

What should be done to the infusion site after one hour during the post-procedure steps?

Check the patient and infusion site for signs of edema, leakage, or disconnection

What is the primary purpose of donning gloves during the procedure?

To prevent infection

What should be done to the dressing and tubing during the post-procedure steps?

Date and initial the dressing and tubing

What is the primary purpose of adding Hyaluronidase to the fluid in hypodermoclysis?

To enhance fluid absorption

What is the recommended frequency for changing the site of subcutaneous fluid administration in hypodermoclysis?

Every 24-48 hours

What is the primary indication for using hypodermoclysis in patients?

Mild to moderate dehydration

What is the recommended angle of insertion for the small gauge needle in hypodermoclysis?

45-60 degree angle

What is the maximum volume of fluid that can be administered in 24 hours using hypodermoclysis in 2 sites?

3000 ml

What is the recommended gauge of the needle used for hypodermoclysis?

22-25 gauge

What is the primary purpose of delivering the fluid with a pump in hypodermoclysis?

To deliver the fluid at a controlled rate

What is the alternative name for hypodermoclysis?

Clysis

What is the primary reason for selecting the infusion site during the preparation step?

To minimize the risk of edema and cellulitis

What is the recommended action if the patient exhibits signs of fluid collection distal to the site during the post-procedure steps?

Remove the catheter and assess the site for complications

What is the primary purpose of cleansing the site with chlorhexidine during the procedure?

To reduce the risk of infection and septicemia

What is the recommended frequency for changing the dressing and tubing during the post-procedure steps?

As necessary, based on the patient's condition

What is the primary advantage of using a bio-occlusive dressing to secure the needle and tubing?

It protects the site from infection and septicemia

What is the recommended action if the patient exhibits signs of bleeding or shock during the post-procedure steps?

Not applicable, as this is a contraindication for the procedure

What is the primary purpose of priming the line during the procedure?

To remove any air from the tubing and fluid pathway

What is the recommended angle of insertion for the small gauge needle during the procedure?

45-60 degrees

Hypodermoclysis is a simple, safe and effective technique for subcutaneously administering ______ to a patient who requires hydration.

fluids

The outer upper arms, upper back between the ______, abdomen, and lateral aspects of thighs are suitable locations for hypodermoclysis.

scapula

Hypodermoclysis is also known as ______.

clysis

The maximum volume of fluid that can be administered in 24 hours using hypodermoclysis in 2 sites is ______.

3000 mls

Massage of the site can enhance ______ absorption.

edema

The small gauge needle used for hypodermoclysis typically has a gauge of ______.

22-25

Hypodermoclysis is an alternative to ______ therapy for mild to moderate dehydration.

Hyaluronidase may be added to the fluid to ______ fluid absorption.

enhance

Before inserting the needle, the site should be cleansed with ______.

chlorhexidine

The needle should be inserted at a ______ degree angle.

45-60

The patient's infusion site should be checked for ______ after one hour.

edema

The infusion site should be massaged to enhance ______ absorption.

edema

The primary purpose of assembling the fluid and tubing is to ______.

prime

The new IV solution bag should be spiked with the ______ hand.

dominant

The dressing and tubing should be ______ and labeled with the medication name.

dated

The patient should be assessed for ______ and tenderness during the post-procedure steps.

redness

Study Notes

Hypodermoclysis

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 often have poor veins at the end of life.
It can be carried out in home, hospice, or residential care facility settings without fully IV credentialed nursing staff.

Indications and Contraindications

Indications for hypodermoclysis include mild to moderate dehydration, nausea, and vomiting, or medication administration.
Contraindications include rapid administration required, shock, bleeding disorder, major dehydration, and severe electrolyte disturbance.

Insertion

A small gauge needle (22-25 gauge) or subcutaneous device (butterfly) is inserted into the subcutaneous space at a 45-60 degree angle.
The needle is inserted into subcutaneous tissue, and if blood returns, it is removed.
The site should be changed every 24-48 hours for fluid administration and every 7 days for medications.

Location Choice

Suitable locations for insertion include outer upper arms, upper back between scapula, abdomen (at least 2 inches away from umbilicus), and lateral aspects of thighs.
Avoid areas that are scarred, bruised, infected, inflamed, near bony prominences, waistline, and sites that are highly vascular, damaged, or edematous.

IV Fluids

Common fluids used include 0.9% NaCl, LR, D5NS, D51/2NS, 2/3 & 1/3, and 0.45% NaCl.
KCl or Hyaluronidase can be added to enhance fluid absorption.
The maximum volume is 3000 ml/24 hours in 2 sites, with a rate of 1 ml/min.

Advantages and Disadvantages

Advantages include patient comfort, ease of insertion, and avoidance of thrombophlebitis, septicemia, and systemic infection.
Disadvantages include slow rate of infusion, limited fluids for administration, edema, cellulitis, pain, and discomfort.

Preparation and Procedure

The patient should be explained the procedure and gather supplies.
The infusion site is selected and washed with chlorhexidine.
The needle is inserted, bevel up, into subcutaneous tissue at a 45-60 degree angle.
The fluid drip rate is adjusted as prescribed (no more than 1 ml/min).

Post-Procedure

The date and initial dressing and tubing are documented, and the site is labeled with medication name if used.
The patient and infusion are checked after one hour for signs of edema, leakage, disconnection, or fluid collection distal to the site.
The infusion site can be massaged to enhance edema absorption if necessary.
The site is assessed for redness, tenderness, edema, bruising, bleeding, burning, leaking, blood in tubing, and cannula displacement.

Hypodermoclysis

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 often have poor veins at the end of life.
It can be carried out in home, hospice, or residential care facility settings without fully IV credentialed nursing staff.

Indications and Contraindications

Indications for hypodermoclysis include mild to moderate dehydration, nausea, and vomiting, or medication administration.
Contraindications include rapid administration required, shock, bleeding disorder, major dehydration, and severe electrolyte disturbance.

Insertion

A small gauge needle (22-25 gauge) or subcutaneous device (butterfly) is inserted into the subcutaneous space at a 45-60 degree angle.
The needle is inserted into subcutaneous tissue, and if blood returns, it is removed.
The site should be changed every 24-48 hours for fluid administration and every 7 days for medications.

Location Choice

Suitable locations for insertion include outer upper arms, upper back between scapula, abdomen (at least 2 inches away from umbilicus), and lateral aspects of thighs.
Avoid areas that are scarred, bruised, infected, inflamed, near bony prominences, waistline, and sites that are highly vascular, damaged, or edematous.

IV Fluids

Common fluids used include 0.9% NaCl, LR, D5NS, D51/2NS, 2/3 & 1/3, and 0.45% NaCl.
KCl or Hyaluronidase can be added to enhance fluid absorption.
The maximum volume is 3000 ml/24 hours in 2 sites, with a rate of 1 ml/min.

Advantages and Disadvantages

Advantages include patient comfort, ease of insertion, and avoidance of thrombophlebitis, septicemia, and systemic infection.
Disadvantages include slow rate of infusion, limited fluids for administration, edema, cellulitis, pain, and discomfort.

Preparation and Procedure

The patient should be explained the procedure and gather supplies.
The infusion site is selected and washed with chlorhexidine.
The needle is inserted, bevel up, into subcutaneous tissue at a 45-60 degree angle.
The fluid drip rate is adjusted as prescribed (no more than 1 ml/min).

Post-Procedure

The date and initial dressing and tubing are documented, and the site is labeled with medication name if used.
The patient and infusion are checked after one hour for signs of edema, leakage, disconnection, or fluid collection distal to the site.
The infusion site can be massaged to enhance edema absorption if necessary.
The site is assessed for redness, tenderness, edema, bruising, bleeding, burning, leaking, blood in tubing, and cannula displacement.

Hypodermoclysis

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 often have poor veins at the end of life.
It can be carried out in home, hospice, or residential care facility settings without fully IV credentialed nursing staff.

Indications and Contraindications

Indications for hypodermoclysis include mild to moderate dehydration, nausea, and vomiting, or medication administration.
Contraindications include rapid administration required, shock, bleeding disorder, major dehydration, and severe electrolyte disturbance.

Insertion

A small gauge needle (22-25 gauge) or subcutaneous device (butterfly) is inserted into the subcutaneous space at a 45-60 degree angle.
The needle is inserted into subcutaneous tissue, and if blood returns, it is removed.
The site should be changed every 24-48 hours for fluid administration and every 7 days for medications.

Location Choice

Suitable locations for insertion include outer upper arms, upper back between scapula, abdomen (at least 2 inches away from umbilicus), and lateral aspects of thighs.
Avoid areas that are scarred, bruised, infected, inflamed, near bony prominences, waistline, and sites that are highly vascular, damaged, or edematous.

IV Fluids

Common fluids used include 0.9% NaCl, LR, D5NS, D51/2NS, 2/3 & 1/3, and 0.45% NaCl.
KCl or Hyaluronidase can be added to enhance fluid absorption.
The maximum volume is 3000 ml/24 hours in 2 sites, with a rate of 1 ml/min.

Advantages and Disadvantages

Advantages include patient comfort, ease of insertion, and avoidance of thrombophlebitis, septicemia, and systemic infection.
Disadvantages include slow rate of infusion, limited fluids for administration, edema, cellulitis, pain, and discomfort.

Preparation and Procedure

The patient should be explained the procedure and gather supplies.
The infusion site is selected and washed with chlorhexidine.
The needle is inserted, bevel up, into subcutaneous tissue at a 45-60 degree angle.
The fluid drip rate is adjusted as prescribed (no more than 1 ml/min).

Post-Procedure

The date and initial dressing and tubing are documented, and the site is labeled with medication name if used.
The patient and infusion are checked after one hour for signs of edema, leakage, disconnection, or fluid collection distal to the site.
The infusion site can be massaged to enhance edema absorption if necessary.
The site is assessed for redness, tenderness, edema, bruising, bleeding, burning, leaking, blood in tubing, and cannula displacement.

Hypodermoclysis

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 often have poor veins at the end of life.
It can be carried out in home, hospice, or residential care facility settings without fully IV credentialed nursing staff.

Indications and Contraindications

Indications for hypodermoclysis include mild to moderate dehydration, nausea, and vomiting, or medication administration.
Contraindications include rapid administration required, shock, bleeding disorder, major dehydration, and severe electrolyte disturbance.

Insertion

A small gauge needle (22-25 gauge) or subcutaneous device (butterfly) is inserted into the subcutaneous space at a 45-60 degree angle.
The needle is inserted into subcutaneous tissue, and if blood returns, it is removed.
The site should be changed every 24-48 hours for fluid administration and every 7 days for medications.

Location Choice

Suitable locations for insertion include outer upper arms, upper back between scapula, abdomen (at least 2 inches away from umbilicus), and lateral aspects of thighs.
Avoid areas that are scarred, bruised, infected, inflamed, near bony prominences, waistline, and sites that are highly vascular, damaged, or edematous.

IV Fluids

Common fluids used include 0.9% NaCl, LR, D5NS, D51/2NS, 2/3 & 1/3, and 0.45% NaCl.
KCl or Hyaluronidase can be added to enhance fluid absorption.
The maximum volume is 3000 ml/24 hours in 2 sites, with a rate of 1 ml/min.

Advantages and Disadvantages

Advantages include patient comfort, ease of insertion, and avoidance of thrombophlebitis, septicemia, and systemic infection.
Disadvantages include slow rate of infusion, limited fluids for administration, edema, cellulitis, pain, and discomfort.

Preparation and Procedure

The patient should be explained the procedure and gather supplies.
The infusion site is selected and washed with chlorhexidine.
The needle is inserted, bevel up, into subcutaneous tissue at a 45-60 degree angle.
The fluid drip rate is adjusted as prescribed (no more than 1 ml/min).

Post-Procedure

The date and initial dressing and tubing are documented, and the site is labeled with medication name if used.
The patient and infusion are checked after one hour for signs of edema, leakage, disconnection, or fluid collection distal to the site.
The infusion site can be massaged to enhance edema absorption if necessary.
The site is assessed for redness, tenderness, edema, bruising, bleeding, burning, leaking, blood in tubing, and cannula displacement.

Learn about hypodermoclysis, a safe and effective technique for subcutaneously administering fluids to patients who require hydration, especially in end-of-life care settings.

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