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Subcutaneous hydration by hypodermoclysis

Part of: Bespoke shallow archive Weizmann

Published online by Cambridge University Press:  06 April 2010

Jorge H. Lopez  and
Carlos A. Reyes-Ortiz
Jorge H. Lopez
Affiliation:
Universidad Nacional, Bogota, Colombia
Carlos A. Reyes-Ortiz*
Affiliation:
University of North Texas Health Science Center, Fort Worth, Texas, USA
*
Address for correspondence: Carlos A. Reyes-Ortiz, Department of Social & Behavioral Sciences, School of Public Health, University of North Texas Health Science Center, 3500 Camp Bowie Boulevard (EAD-711B), Fort Worth, Texas, 76107–2699, USA. Email: Carlos.ReyesOrtiz@unthsc.edu
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Summary

Subcutaneous hydration, or hypodermoclysis (HDC), is a very simple technique that should be practised more often by doctors and nurses who care for older patients. It involves less discomfort, generates less cost and has fewer adverse effects than the intravenous route and may reduce the need for admission to the emergency department. The main indication is the management of mild to moderate dehydration, and prevention of dehydration in patients who are intolerant of oral intake. It should not be administered in situations of severe dehydration, in emergency situations, or in patients with fluid overload. Isotonic or hypotonic solutions must be used with appropriate electrolytes. Certain medicines can be given simultaneously by HDC and this may be especially valuable in palliative care settings. In most cases there is no need to add hyaluronidase.

Keywords

subcutaneous hydrationhypodermoclysisolder personageingfluids
Type
Clinical geriatrics
Information
Reviews in Clinical Gerontology , Volume 20 , Issue 2 , May 2010 , pp. 105 - 113
Copyright
Copyright © Cambridge University Press 2010

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