Procedure

Hypodermoclysis

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Hypodermoclysis

See Also

Hypodermoclysis Technique

Definition

Subcutaneous fluid administration

Indications

Mild to moderate Dehydration in adults
1. Geriatric patients
2. Palliative Care
Intravenous Access difficult or impractical
Patient unable to take fluids orally

Contraindications

Not indicated in pediatric patients
Clotting disorder
Pulmonary Edema
Large volume fluids required
1. Severe Dehydration or shock
2. Severe Electrolyte disturbance

Technique

See Hypodermoclysis Technique

Adverse Effects

Mild subcutaneous edema (resolves with local massage)
Local catheter site erythema, swelling or obstruction
Infusion site discomfort (less common than with IV)
1. Associated with deep needle insertion into Muscle
2. Associated with too rapid infusion rate
Cellulitis at infusion site rarely occurs

Efficacy

Similar to Intravenous Fluid in moderate Dehydration

Advantages over intravenous therapy

Less discomfort (and Agitation in cognitively impaired)
Fewer complications than with IV fluid
1. Less likely to cause Pulmonary Edema
2. No Thrombophlebitis risk
3. No associated Sepsis risk
4. No Clot Formation when clamped
Family members can administer at home
Lower cost

Disadvantages compared with intravenous therapy

Infusion rate is slow: 1 ml/minute on average
1. May be increased with use of hyaluronidase
Local edema at site (see adverse effects)

References