Have a 29yo with hyperemesis gravidarum (3rd preg like this, each requiring fluids to time of delivery) needing 2 liters of hydration daily. She started to have a local reaction at her PICC dressing site, due to the Chloraprep. Unfortunately this started a trend and she has reacted to all dressings, so had a tunneled cath placed 10 days ago. She was skin tested to the catheter material prior to insertion, however now starting a general reaction again. Anyone have any ideas? She had an NG but couldn't keep it down. She is fearful that she would react to a PEG tube at this point.
Ann Zonderman, BSN, JD, CRNI, LHRM
Have you considered subcutaneous hydration -(hypodermoclysis resurgence and new equipment make this an easier than before administration
resources:
Aqua C - Norfolk Medical - very small /short infusio device product company info has many references in support
BAXTER - use of product to promote fluid absorption- Hylenex
Ann Zonderman, BSN, JD, CRNI