Presentation hdc
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Transcript of Presentation hdc
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?