Subcutaneous fluid administration and the hydration of older people

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“This article discusses indications and contraindications for subcutaneous infusions, as well as patient assessment, placement, securement and potential complications.” Gabriel (2014).

Reference:

Gabriel, J. (2014) Subcutaneous fluid administration and the hydration of older people. British Journal of Nursing. 23(Sup14), p.S10-S14.

Abstract:

Hypodermoclysis, or the subcutaneous administration of fluids, is a method of rehydration that is not routinely used in the UK. Yet it is a simple and effective method of fluid administration for individuals with mild-to-moderate dehydration, especially for the frail and elderly ( Sasson and Shvartzman, 2001 ). Subcutaneous infusion is an alternative route of parenteral administration. It provides a number of advantages over the intravenous route for those individuals unable to tolerate enteral fluids, as it is associated with fewer complications, as well as a wider range of infusion sites. This makes it particularly advantageous for frail and/or older patients requiring low-volume hydration in the community setting. This article discusses indications and contraindications for subcutaneous infusions, as well as patient assessment, placement, securement and potential complications.

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