Not necessarily clysis can be successfully done with a 25G half inch SQ needle. The difference is with clysis you can allow a balloon of fluid to develop. With pain mgmt you do not want this. we do not use large needles for clysis any longer. Chris Cavanaugh [EMAIL PROTECTED] EarthLink Revolves Around You
...... Original Message ....... On Thu, 02 Mar 2006 13:23:31 -0500 Ann Marie Parry <[EMAIL PROTECTED]> wrote: >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? > > Thanks so much, > Carole > > > > > > > -- > If you want to share pictures, use the calendar, or start a vote > visit >http://www.smartgroups.com/groups/vascular<http://www.smartgroups.com/gr >oups >/vascular> > > To leave the group, email: >[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED] >oups >.com> > > Report abuse >http://www.smartgroups.com/text/abusereport.cfm?gid%3D797122&mid%3D23084 ><htt >p://www.smartgroups.com/text/abusereport.cfm?gid%3D797122&mid%3D23084> > > > >====================================================================<<< >Whatever you Wanadoo, click below: >http://ads.smartgroups.com/adclick/CID=000000b7c79a99a500000000 >====================================================================>>> >-- >If you want to share pictures, use the calendar, or start a vote visit >http://www.smartgroups.com/groups/vascular > >To leave the group, email: [EMAIL PROTECTED] > >Report abuse >http://www.smartgroups.com/text/abusereport.cfm?gid%3D797122&mid%3D23090 > > > > > > > >IMPORTANT WARNING: The information in this message (and the documents attached to it, if any) is confidential and may be legally privileged. 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