There seems to be increasing numbers of patients that we encounter in this area who have very limited IV access possibilities. I am wondering about the frequency of use for hypodermoclysis. Have many of you used this method for hydration and medication administration and has it been helpful for the short term need?
Glenda,
Do you have the 3rd Edition of Infusion Nurses Society Infusion Nursing An Evidence-Based Approach? Chapter 26 has excellent information on Hydroderoclysis. My only experience is in Sub-Q morhine so I am not a good resource for the hydration piece. Valorie
Valorie Dunn,BSN, RN, CRNI, PLNC
Glenda,
We do Hypodermoclysis on a frequent basis utilizing the Aqua-C set from Norfolk medical.. (I think that I spelled their name correctly) anyway, I've had patient's who have poor venous access, specifically ask for this treatment as it worked so well for them. We give isotonic, or near isotonic IVF using this SQ set and it has been quite helpful for mild dehydration needs in the elderly population.
We do not use the Aqua-C set for anything but hydration, however, we do have other SQ sets for MSO4 SQ administration.
Hope this helps.
Thank you for the information on equipment. Do you have a policy on this procedure? Has anyone ever used hypodermoclysis for a continuous insulin infusion?
Glenda, Hypodermoclysis, or clysis is a very effective means of hydrating those with mild to moderate dehydration. There are many subcutaneous infusion sets on the market, but I too have used the Norfolk brand and found it to be easy to use, and effective. As far as continuous insulin goes, this would be considered a subcutaneous infusion - semantics. This can be achieved using any of the various subcutaneous sets. At the INS Industrial Exhibition last year I saw a new type specifically designed for insulin called "insuflon" that I found to be very interesting, though I have never actually used it on a patient. There will be a presentation at the INS meeting in May regarding this topic. It would be great if you could attend, since I am presenting it! ;)
Gabby Walsh
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