The Norfolk Medical Aqua C hydration set is dual set up with needles 25 guage - 6 mm (gee now I need to convert that!) - about 1/4 inch long --- NO more long large needles
Ann Z -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Ann Marie Parry Sent: Thursday, March 02, 2006 10:24 AM To: [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED] Cc: [EMAIL PROTECTED] Subject: RE: [vascular] SQ Morphine infusion There is a difference in equipment and such between sub q infusions for pain management and hypodermoclysis for hydration. They are not the same and you can not compare them. Two different therapies with two different needles - one very small and short (for sub q infusions primarily pain management) the other a larger bore and longer (called Hypodermaoclysis - not sub q - for hydration). AnnMarie >>> "Bartholomew , Jerry A (SPO)" <[EMAIL PROTECTED]> 3/2/2006 10:44 AM >>> I have an article from Nursing May 2000 entitled Hypodermoclysis Another Way To Replace Fluids, by Mark K. Brown. The focus of the article in hydration using the subcutaneous route. Here's an excerpt: "Begin the infusion at 30ml/hour and monitor the patient's response. If he tolerates this rate well for 1 hour, increase the rate as ordered, to a maximum of 80ml/hour. In our facility, a typical infusion rate is 75ml/hour to a maximum of 2,000 ml/24hours." They also add the enzyme hyaluronidase to the infusion. With the availability of ultrasound here, we haven't had to resort to this procedure to hydrate our patients, but based on this, I would say the maximum rate of a subQ infusion is well beyond 2cc/hr. Jerry Bartholomew RN BSN CRNI Vascular Access Specialist Veterans Affairs Medical Center Spokane, Washington -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Dianne Sim Sent: Wednesday, March 01, 2006 3:33 PM To: 'KayBeth Weibel, CRNI' Cc: [EMAIL PROTECTED] Subject: RE: [vascular] SQ Morphine infusion I thought that the maximum infusion rate for subQ infusion is 2cc/hr. Am I incorrect? Dianne Sim IV Assist, Inc -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of KayBeth Weibel, CRNI Sent: Wednesday, March 01, 2006 6:13 AM To: [EMAIL PROTECTED] Subject: RE: [vascular] SQ Morphine infusion Hi Carole, We occasionally use subcutaneous morphine for pain management. We use 27gx1/2 inch sets. We prepare site just as we would for a peripheral IV and rotate q3days. INS Policies and Procedures, 2nd edition recommends q3-5day rotation. We don't plan to administer more than 3ml/hr via this route, and less if the patient's site cannot tolerate. We increase the concentration of the morphine to accommodate. KayBeth Weibel, CRNI Infusion Network Falmouth, MA -----Original Message----- From: ann marie parry [mailto:[EMAIL PROTECTED] Sent: Saturday, February 25, 2006 8:15 PM To: [EMAIL PROTECTED] Subject: Re: [vascular] SQ Morphine infusion We occasionally, successfully managed pain in palliative med and hospice patients with pain management via the sub q route when there is not vascular access and the patient is not expected to be around for a long along with other reasons - our policy is to change q 5 days and prn- using alcohol and chloraprep cover with tegaderm there are limits on the amount you should infuse - need to check to absorption problems and may need to rotate the site more frequently on patients with lower amounts adipose tissue - email me with specific questions - I can fax you something on monday or you can talk with you by phone Ann Marie VITALine Home Infusion Pharmacy 1-800-245-8767 ----- Original Message ----- From: [EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]> To: [EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]> Sent: Saturday, February 25, 2006 2:43 PM Subject: [vascular] SQ Morphine infusion Hi, Has anyone heard of having a PCA (patient-controlled analgesia) infusion with morphine by using the subcutaneous route? The patient had a 25-gauge needle to her left upper chest connected to a pump upon admission from the host hospital. Staff called me looking for our P & P -- which we do not have -- limited info on the internet. Can anyone share information about this, maybe even a protocol? 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