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Hypodermoclysis

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1. Hypodermoclysis Technique

Hypodermoclysis Technique Hypodermoclysis Technique Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Hypodermoclysis Technique (...) Hypodermoclysis Technique Aka: Hypodermoclysis Technique II. Step 1: Prepare Equipment Solution bag (see Step 2 below) Tube with drip chamber Long-tube butterfly needle 21 to 23 gauge Betadine or swabs Sterile III. Step 2: Select Solution Fluid (most common) One half NS (0.45%) One third NS with two thirds 5% dextrose D5W, D5-NS or D5-1/2NS Additives Medications (e.g. ) not recommended No data on absorption chloride May infuse 20 to 40 mmol/L safely Hyaluronidase Enhances subcutaneous fluid absorption Lyses

2018 FP Notebook

2. Hypodermoclysis

Hypodermoclysis Hypodermoclysis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Hypodermoclysis Hypodermoclysis Aka: Hypodermoclysis (...) . 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 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Hypodermoclysis." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Hypodermoclysis (C0204837) Definition (MSH

2018 FP Notebook

3. A Prospective Study of Hypodermoclysis Performed by Caregivers in the Home Setting. (PubMed)

A Prospective Study of Hypodermoclysis Performed by Caregivers in the Home Setting. Decreased oral intake is very common at the end of life. Dehydration can aggravate symptoms, such as fatigue, myoclonus, and confusion. Intravenous hydration at home can be logistically difficult and expensive. Hypodermoclysis is easy to provide and inexpensive; however, it is rarely used to provide hydration at the end of life in the home setting.The purpose of this study was to determine if caregivers were (...) capable of administering hypodermoclysis in the home hospice setting.All caregivers underwent a 45-minute training session on hypodermoclysis administration and assessment of infusion site delivered by a specially trained nurse. Caregivers received daily calls and on-site evaluation on Day 8.A total of 21 patient/caregivers dyads were admitted to this preliminary study: 10 (48%) female patients and 16 (76%) female caregivers. All patients had advanced cancer, receiving hospice care at home. All

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2016 Journal of pain and symptom management Controlled trial quality: uncertain

4. Effectiveness and adverse events of hypodermoclysis in fluid infusion for child rehydration: systematic review protocol

Effectiveness and adverse events of hypodermoclysis in fluid infusion for child rehydration: systematic review protocol Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence

2018 PROSPERO

6. Hypodermoclysis Technique

Hypodermoclysis Technique Hypodermoclysis Technique Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Hypodermoclysis Technique (...) Hypodermoclysis Technique Aka: Hypodermoclysis Technique II. Step 1: Prepare Equipment Solution bag (see Step 2 below) Tube with drip chamber Long-tube butterfly needle 21 to 23 gauge Betadine or swabs Sterile III. Step 2: Select Solution Fluid (most common) One half NS (0.45%) One third NS with two thirds 5% dextrose D5W, D5-NS or D5-1/2NS Additives Medications (e.g. ) not recommended No data on absorption chloride May infuse 20 to 40 mmol/L safely Hyaluronidase Enhances subcutaneous fluid absorption Lyses

2015 FP Notebook

7. Hypodermoclysis

Hypodermoclysis Hypodermoclysis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Hypodermoclysis Hypodermoclysis Aka: Hypodermoclysis (...) . 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 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Hypodermoclysis." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Hypodermoclysis (C0204837) Definition (MSH

2015 FP Notebook

8. The Dangerous Hypodermoclysis in Infancy (PubMed)

The Dangerous Hypodermoclysis in Infancy 13608399 2000 07 01 2018 12 01 0008-4409 80 1 1959 Jan 01 Canadian Medical Association journal Can Med Assoc J The dangerous hypodermoclysis in infancy. 31-2 ISRAELS S S WYLIE K K eng Journal Article Canada Can Med Assoc J 0414110 0008-4409 OM Dangerous Behavior Hypodermoclysis Infusions, Parenteral complications 5935:38047:299 INFUSIONS, PARENTERAL/complications 1959 1 1 1959 1 1 0 1 1959 1 1 0 0 ppublish 13608399 PMC1830334 Surgery. 1952 Aug;32(2):305

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1959 Canadian Medical Association Journal

9. The Dangerous Hypodermoclysis (PubMed)

The Dangerous Hypodermoclysis 20325884 2010 06 24 2010 06 24 0008-4409 80 5 1959 Mar 01 Canadian Medical Association journal Can Med Assoc J The Dangerous Hypodermoclysis. 395 Israels S S eng Journal Article Canada Can Med Assoc J 0414110 0008-4409 2010 3 24 6 0 1959 3 1 0 0 1959 3 1 0 1 ppublish 20325884 PMC1830756

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1959 Canadian Medical Association Journal

10. The Dangerous Hypodermoclysis (PubMed)

The Dangerous Hypodermoclysis 20325871 2010 06 24 2010 06 24 0008-4409 80 4 1959 Feb 15 Canadian Medical Association journal Can Med Assoc J The Dangerous Hypodermoclysis. 313-4 Holman G H GH eng Journal Article Canada Can Med Assoc J 0414110 0008-4409 2010 3 24 6 0 1959 2 15 0 0 1959 2 15 0 1 ppublish 20325871 PMC1830639

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1959 Canadian Medical Association Journal

11. The Treatment of Cholera by Hypodermoclysis and Enteroclysis (PubMed)

The Treatment of Cholera by Hypodermoclysis and Enteroclysis 21409074 2011 07 14 2011 03 16 1059-8685 10 1895 Transactions of the American Climatological Association for the year ... American Climatological Association Trans Am Climatol Assoc The Treatment of Cholera by Hypodermoclysis and Enteroclysis. 92-104 Daland J J eng Journal Article United States Trans Am Climatol Assoc 101491229 1059-8685 2011 3 17 6 0 1895 1 1 0 0 1895 1 1 0 1 ppublish 21409074 PMC2526867

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1893 Transactions of the American Climatological Association

12. PAINLESS HYPODERMOCLYSIS (PubMed)

PAINLESS HYPODERMOCLYSIS 17864410 2007 09 17 2008 11 20 0003-4932 73 2 1921 Feb Annals of surgery Ann. Surg. PAINLESS HYPODERMOCLYSIS. 161-4 Bartlett W W eng Journal Article United States Ann Surg 0372354 0003-4932 1921 2 1 0 0 1921 2 1 0 1 1921 2 1 0 0 ppublish 17864410 PMC1410607

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1921 Annals of Surgery

13. Hypodermoclysis

Hypodermoclysis Palliative Care Guidelines Plus Please select the region you work in: England - London England - South East England - South West England - East of England England - East Midlands England - West Midlands England - Yorkshire and the Humber England - North East England - North West Wales Northern Ireland Scotland Outside the UK Please select the country: US Canada New Zealand Ireland Other Enter site I am a doctor/physician I am a healthcare professional I am not a healthcare

2010 Palliative Medicine Handbook

14. Hypodermoclysis to Treat Dehydration: A Review of the Evidence. (PubMed)

Hypodermoclysis to Treat Dehydration: A Review of the Evidence. Dehydration is a serious acute condition in older adults associated with significant morbidity and mortality. Hypodermoclysis (HDC; the infusion of fluids into the subcutaneous tissue) can provide an alternative to intravenous (i.v.) rehydration of older adults. This article reviews the relevant literature on the use of HDC to treat mild to moderate dehydration in older adults. A comprehensive search of the literature was conducted

2008 EvidenceUpdates

15. Palliative Care for the Patient with Incurable Cancer or Advanced Disease: Part 2: Pain and Symptom Management

require rehydration, which can be carried out in the home, hospice, or residential care facility using hypodermoclysis, a simple, safe and effective technique that avoids venous access (refer to Appendix A – Hypodermoclysis Protocol). Management 1. Non-pharmacological: modifications to diet (e.g., small bland meals) and environment (e.g., contr ol smells and noise), relaxation and good oral hygiene, and acupressure (for chemotherapy-induced acute nausea, but not for delayed symptoms). 2 (...) or Advanced Disease 2 Part 2: Pain and Symptom Management – Nausea and Vomiting (2017)BCGuidelines.ca: Palliative Care for the Patient with Incurable Cancer or Advanced Disease Part 2: Pain and Symptom Management – Nausea and Vomiting (2017) 3 Resources } Abbreviations GI gastrointestinal IV intravenous N&V nausea & vomiting SC subcutaneous } Appendices Appendix A – Hypodermoclysis Protocol Appendix B – Medications Used in Palliative Care for Nausea and Vomiting For additional guidance on nausea

2017 Clinical Practice Guidelines and Protocols in British Columbia

16. Diagnosis and Management of Nursing Home Acquired Pneumonia (NHAP)

to increased insensible water loss. One litre of fluids in a 24 hour period is required to replace insensible losses under most circumstances. Fluid requirement for older persons without cardiac or renal failure is 30mL/kg/day in addition to estimated fluid deficit. Note: Consider hypodermoclysis if adequate hydration cannot be achieved orally. ? Antibiotic Therapy (refer to Bugs & Drugs 1,2 ) o Antibiotics should be given as soon as possible after the diagnosis of pneumonia is made as delays

2016 Toward Optimized Practice

17. Diagnosis and Management of Utinary Tract Infection in Long Term Care Facilities

. Ideally older adults should receive 30 mL/kg with a minimum of 1500 mL per day. 23 Hypodermoclysis or IV fluids are recommended for residents who are unable to be hydrated orally and whose fluid intake is less than 1000 mL/day. 24 If symptoms continue, treat as for UTI. If symptoms resolve, no further intervention is required. This practice avoids risks associated with antibiotic use without compromising resident safety. PRACTICE POINT For medically stable residents with signs and symptoms of a UTI (...) J J Assoc Medicale Can. 2000 Aug 8;163(3):285–6. 23. Chidester JC, Spangler AA. Fluid intake in the institutionalized elderly. J Am Diet Assoc. 1997 Jan;97(1):23–8; quiz 29–30. 24. Frisoli Junior A, de Paula AP, Feldman D, Nasri F. Subcutaneous hydration by hypodermoclysis. A practical and low cost treatment for elderly patients. Drugs Aging. 2000 Apr;16(4):313–9. 25. Ducharme J, Neilson S, Ginn JL. Can urine cultures and reagent test strips be used to diagnose urinary tract infection in elderly

2016 Toward Optimized Practice

18. Can potassium be given by subcutaneous infusion?

Can potassium be given by subcutaneous infusion? Can potassium be given by subcutaneous infusion? – SPS - Specialist Pharmacy Service – The first stop for professional medicines advice Menu · · Published 13th June 2016, updated 7th November 2018 This Medicines Q&A considers whether potassium can be administered subcutaneously to patients receiving fluid replacement by hypodermoclysis Attachments · Word · 67 KB Principal Pharmacist Critical Evaluation and UKMi Medicines Q&A Lead, Southampton

2016 Specialist Pharmacy Services

19. Prevention of Dehydration in Geriatric Patients in Long-Term Care

-Language Pathology. 2010 Sep;18(3). 16. Mei A, Auerhahn C. Hypodermoclysis: maintaining hydration in the frail older adult. Ann Long Term Care. 2009 May;17(5):28-30. 17. Suhayda R, Walton JC. Preventing and managing dehydration. Medsurg Nurs. 2002;11(6): 267-8; quiz 279. PubMed: PM12520974 18. Kamel HK, Thomas DR, Morley JE. National deficiencies in long-term care: part II. Management of protein energy malnutrition and dehydration. Ann Long Term Care. 1998 Jul;6(8):250-8. 19. Weinberg AD, Minaker KL

2014 Canadian Agency for Drugs and Technologies in Health - Rapid Review

20. Subcutaneous vs Intravenous Hydration on Older Adults

of fluid, also known as hypodermoclysis, is an alternative route. Several studies have compared SC hydration to IV hydration with the main outcome being laboratory test of hydration or subjective assessment scores. They all found similar effects on laboratory markers of hydration, which align with the theory of mass conservation. They also found a similar incidence of side effects between IV and SC hydration as secondary outcomes. The main drawback of these studies is methodological shortcomings (...) ClinicalTrials.gov Identifier: Other Study ID Numbers: N-20180014 First Posted: October 18, 2018 Last Update Posted: January 10, 2019 Last Verified: January 2019 Individual Participant Data (IPD) Sharing Statement: Plan to Share IPD: No Layout table for additional information Studies a U.S. FDA-regulated Drug Product: No Studies a U.S. FDA-regulated Device Product: No Keywords provided by Mathias Aalkjær Brix Danielsen, Aalborg Universitetshospital: Hypodermoclysis Older adults Geriatric patient Hydration

2018 Clinical Trials

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