HYPODERMOCYCLSIS

MATTHEW CHAN

OVERVIEW

• Purpose

• Equipment

• Sites for injection

• How to inject

• How to set up fluid

• Basic Guidelines

PURPOSE

Symptom control

Electrolyte replacement by administering medications

subcutaneously

Maintain medication – requires physicians order

Maintain Oral fluids

EQUIPMENT INVOLVED

• HDC solution as ordered

• Needle

• IV administration set

• IV pole and infusion pump

• Tape

• Transparent dressing

• Alcohol

SITES TO INJECT NEEDLE

• Upper chest

• Abdomen

• Upper thigh

• Scapular

INSERTION GUIDELINES

1. Cleanse site with alcohol

2. Use 24-gauge catheter needle and insert to subcutaneous space at an

20 degree – 45 degree angle into the tissue**

3. Clamp tubing and replace the existing cap with a luer activated valve

4. Remove clamp

DIAGRAMS FOR INSERTION

DRESS THE SITE

• Metflim

• Note: Date, Nurses initial and Medication names(s) and dosages

TYPES OF HDC SOLUTIOS

• Normal Saline solution

• Dextrose 5% and 0.9% sodium chloride

• Dextrose 3.33%

• Lactated Ringesr

INFUSION PUMP• Attach the tubing to the Infusion pump machine

• Set up:

• http://www.youtube.com/watch?v=Z8CltymxLyE

OTHER GUIDELINES FOR HYPODERMOCLYSIS

• 75ml/hr

• 60ml/hr

• Hang it for only 24 hours

• ~1440ml of solution for patient

DIFFERENCE BETWEEN HYPODERMOCLYSIS AND IV

• Hypodermoclysis :

Injection site at body tissue

Typically done at stomache, scapular

solution

• IV :

Injection site at veins

Typically done at arms, hands

Medication

QUESTION

• What are the steps for an Hypodermoclysis injection?