II. Definition
- Subcutaneous fluid administration
III. Indications
- Mild to moderate Dehydration in adults
- Geriatric patients
- Palliative Care
- Intravenous Access difficult or impractical
- Patient unable to take fluids orally
IV. Contraindications
- Not indicated in pediatric patients
- Clotting disorder
- Pulmonary Edema
- Large volume fluids required
- Severe Dehydration or shock
- Severe Electrolyte disturbance
V. Technique
VI. Adverse Effects
- Mild subcutaneous edema (resolves with local massage)
- Local catheter site erythema, swelling or obstruction
- Infusion site discomfort (less common than with IV)
- Associated with deep needle insertion into Muscle
- Associated with too rapid infusion rate
- Cellulitis at infusion site rarely occurs
VII. Efficacy
- Similar to Intravenous Fluid in moderate Dehydration
VIII. Advantages over intravenous therapy
- Less discomfort (and Agitation in cognitively impaired)
- Fewer complications than with IV fluid
- Less likely to cause Pulmonary Edema
- No Thrombophlebitis risk
- No associated Sepsis risk
- No Clot Formation when clamped
- Family members can administer at home
- Lower cost
IX. Disadvantages compared with intravenous therapy
- Infusion rate is slow: 1 ml/minute on average
- May be increased with use of hyaluronidase
- Local edema at site (see adverse effects)
X. References
- Fainsinger (1994) J Pain Symptom Manage 9:298-302 [PubMed]
- Farrand (1996) Br J Hosp Med 55:690-2 [PubMed]
- Ferry (1999) J Am Geriatr Soc 47:93-5 [PubMed]
- Hussain (1996) J Am Geriatr Soc 44:969-73 [PubMed]
- Mansfield (1998) Nurs Stand 13:56-62 [PubMed]
- Sasson (2001) Am Fam Physician 64(9):1575-8 [PubMed]
- Slesak (2003) J Am Geriatr Soc 51:155-60 [PubMed]
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Definition (MSH) | Technique for treating DEHYDRATION and WATER-ELECTROLYTE IMBALANCE by subcutaneous infusion of REHYDRATION SOLUTIONS. |
Concepts | Therapeutic or Preventive Procedure (T061) |
MSH | D055103 |
SnomedCT | 113154008 |
Spanish | hipodermoclisis, Hipodermoclisis, clisis subcutánea para la administración de líquidos (procedimiento), clisis subcutánea para la administración de líquidos |
English | Administration, Subcutaneous Fluid, Hypodermoclysis, Subcutaneous Hydration, Fluid Administration, Subcutaneous, Hydration, Subcutaneous, Subcutaneous Fluid Administration, Subcutaneous clysis of patient for fluid administration, Subcutaneous clysis of patient for fluid administration (procedure) |
French | Hydratation sous-cutanée, HDC (Hypodermoclyse), Perfusion sous-cutanée de liquide, Hypodermoclyse, Hydratation par perfusion sous-cutanée, Administration sous-cutanée de liquide |
Italian | Ipodermoclisi, Infusione sottocutanea |
Russian | PODKOZHNOE VVEDENIE RASTVOROV, ПОДКОЖНОЕ ВВЕДЕНИЕ РАСТВОРОВ |
German | Hypodermoclysis, Subkutane Infusion |
Portuguese | Hipodermóclise |
Swedish | Hypodermoklys |
Czech | hypodermoklýza |
Polish | Podawanie płynów podskórne, Nawadnianie podskórne |
Japanese | 皮下補液, 輸液-皮下, 皮下輸液 |
Norwegian | Subkutan væskebehandling, Subkutan væskeadministrering, Hypodermoklyse |