Our experience with subcutaneous rehydration
Authors:
V. Šťastná; K. Soukupová; H. Kučerová
Authors place of work:
Geriatrické oddělení FN Plzeň
Published in the journal:
Čes Ger Rev 2009; 7(1): 46-48
Summary
Dehydration is a frequent problem in senior citizens, often requiring infusion treatment. An alternative to the common intravenous application of fluid is represented by subcutaneous application. This established method enables safe administering of up to two litres of fluids by means of standard equipment normally used for i.v. infusion. It is a technically very simple method saving staff time as well as the potential places of the patient’s venous input. For a period of six months, we prospectively observed the occurrence of complications in administering s.c. infusions at our workplace (Geriatric Ward of FN Plzeň). We administered a total of 425 infusions of 1 000 ml Plasmalyte s.c., with complications occurring in 1.65%. All the instances involved a local oedema with reddening, which subsided within 24 hours. Provided that the limits and counter indications are respected, the method of subcutaneous administration of infusions is a safe alternative to the classic i.v. rehydration.
Keywords:
dehydratation – hypodermoclysis– subcutaneous infusion
Zdroje
1. Editorial. Hypodermoklysis. Medical Record (New- York) 1892; 42: 567.
2. Smith RP. The subcutaneous administration of fluid in acute and subacute conditions in infancy. Can Med Assoc J 1915; 5: 894– 901.
3. Abbott WE, Levey S, Foreman RC et al. The danger of administering parental fluids by hypodermoclysis. Surgery 1952; 32: 305.
4. Israels S, Wylie K. The dangerous hypodermoclysis in infancy. Can Med Acssoc J 1959; 80 (1): 31– 32.
5. Lipschitz S, Campbell AJ, Roberts MS et al. Subcutaneous fluid administration in elderly subjects: validation of an under- used technique. J Am Geriatr Soc 1991; 39 (1): 6– 9.
6. Schen RJ, Singer- Edelstein M. Subcutaneous infusions in the elderly. J Am Geriatr Soc 1981; 29 (12): 583– 585.
7. Barua P, Bhowmick BK. Hypodermoclysis – a victim of historical prejudice. Age Ageing 2005; 34 (3): 215– 217.
8. Sasson M, Shvartzman P. Hypodermoclysis: An Alternative Infusion Technique. Am Fam Physician 2001; 64 (9): 1575– 1578.
9. ESPEN Doporučené postupy pro enterální výživu: Nechirurgická onkologie 2006. [http:/ / www.skvimp.cz/ uploads/ 08092007002758.pdf].
Štítky
Geriatrics General practitioner for adultsČlánok vyšiel v časopise
Czech Geriatric Review
2009 Číslo 1
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