Hypodermoclysis – SUbcutaneous Hydration
|Hypodermoclysis – Subcutaneous Hydration H5MAPR0324 |Level III |
| |
| | |
|Purpose of the Procedure |The purpose of this procedure is to provide guidelines for administration of subcutaneous hydration to the |
| |resident as ordered. |
| | |
|General Guidelines |Verify with state Nurse Practice Act as to RN/LPN scope of practice regarding this procedure. |
| |Hypodermoclysis is a method of hydration that does not require an intravenous catheter for delivery. |
| |Hypodermoclysis involves using small needles to deliver isotonic fluids (0.9 NS, lactated ringers, D5W) slowly |
| |into the subcutaneous tissue. |
| |This system is designed for short-term, preventative hydration or for mild dehydration. |
| |Hypodermoclysis is NOT for antibiotics, narcotics, or fluids with electrolytes (KCL, magnesium, etc.). |
| |Sites for needle placement are the abdomen, stomach, and front or side of thighs. Less commonly used sites are the|
| |upper arms or upper back shoulder area. |
| |The fluid is infused into the subcutaneous tissue where it is absorbed slowly. While the fluid is absorbed, a |
| |fluid wheal will form. This is normal and is not an infiltration of fluids. |
| |Hypodermoclysis reduces the chance of the following complications associated with intravenous therapy: |
| |Fluid overload, CHF; |
| |Phlebitis; and |
| |Infections. |
| |Physician order should include: |
| |Type and quantity of isotonic fluid; |
| |Rate (determined by type of delivery set); and |
| |Length of treatment. |
| | |
|Equipment and Supplies |Hypodermoclysis set with needle strip; |
| |Isotonic solution bag; |
| |Antiseptic skin cleaning solution; |
| |Non-sterile gloves; |
| |Transparent dressing; and |
| |IV pole. |
| | |
|Steps in the Procedure |Review physician order. |
| |Explain procedure to resident. |
| |Assemble fluid and kit. |
| |Wash hands. Don non-sterile gloves. |
| |Prime tubing including attached needle set until all air is removed. |
| |Do sterile site preparation and allow to air dry. |
| |Pinch up skin or flatten skin. Insert needle strip flat into skin. |
| |Secure needle strip to skin using transparent dressing. Tape tubing to skin. |
| | |
| | |
|Steps in the Procedure (continued)| |
| | |
| |continues on next page |
| |Date dressing and tubing. |
| |Start fluid and adjust flow rate. Make sure that resident is comfortable. |
| |Monitor for fluid wheal formation. This is affected by metabolism rate of resident. |
| |If necessary, the site may be lightly massaged to help fluid absorption. |
| |Observe for any signs of peripheral edema (not the fluid wheal), leakage or fluid overload. Monitor for line |
| |disconnection from skin. |
| |If the site needs to be changed, the whole set including needles are changed as one piece. Contact pharmacy for |
| |new set. No new order is needed. |
| | |
|Documentation |Document the following in the resident’s medical record upon insertion: |
| |Procedure; |
| |Type of fluids; and |
| |Dressing and tubing. |
| |Document the change date on the medication administration record. |
| |Document the following in the resident’s medical record every shift: |
| |The type of fluid being infused, location of needle placement, type of antiseptic used to clean skin; |
| |Intake and output totals; |
| |Time fluid bag was started and discontinued; |
| |Condition of skin where needles are inserted, any leakage, peripheral edema (not fluid wheal), statement from |
| |resident regarding how they are tolerating the treatment; |
| |Date and time of tubing and needle strip site change and reason for changing site (leakage, skin irritation, 72 |
| |hour site change); and |
| |Any communication with physician about problems, laboratory values. |
| | |
|Reporting |Report to physician or supervisor any information about treatment. |
| |Report to oncoming shift nurses the type of treatment, needle insertion site, any complications, and any objective|
| |information concerning treatment. |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
|References |
|MDS (CAAs) |Section I; Section J; Section O; (CAA 14) |
|Survey Tag Numbers |F327 |
|Related Documents |Hydration – Clinical Protocol |
| |Resident Hydration and Prevention of Dehydration |
|Risk of Exposure |Blood–Body Fluids–Infectious Diseases |
|Procedure |Date:________________ By:__________________ |
|Revised |Date:________________ By:__________________ |
| |Date:________________ By:__________________ |
| |Date:________________ By:__________________ |
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related searches
- water to gatorade hydration ratio
- subcutaneous abscess icd 10 code
- subcutaneous hematoma icd 10
- in home iv hydration therapy
- iv hydration guidelines for adults
- subcutaneous mass on back
- subcutaneous mass removal cpt
- subcutaneous mass ultrasound
- subcutaneous mass tumor
- subcutaneous mass in neck
- calcified subcutaneous mass
- how deep is subcutaneous tissue