Pediatric sub-Q rehydration therapy (hypodermoclysis)

[freki]

I was wondering if anyone has any experience with using subcutaneous rehydration for pediatric patients that have failed oral (ORT). ENPC is currently teaching it and I've seen a lot of literature lately that seems to support this as a good alternative to IV rehydration in that subset of patients who aren't quite sick enough for admission and just need a little boost. I'm especially interested in protocols that use hyaluronidase to help improve flow/comfort.

Does anyone have any policies or training materials on this? I'm part of my hospital's practice council for the ED and was thinking of bringing this up to perhaps trial before the next cough/cold/flu season. Thank you all!

[Elly Em]

I know, I'm a fossil.......

Fossils like you are precious gems.

[toomuchbaloney]

Hospice uses sub Q infusions for med delivery AND rehydration. Check with them.

[jujubeeaddict1]

My hospital uses Hylenex on kids that are hard sticks. Older nurses and doctors really oppose it and prefer to continue to poke (sometimes up to 7 times). Our policy/procedure allows you to use a butterfly or angiocath into the subq tissue, inject the hylenex, and then administer a fluid bolus at a slower rate than the IV rate and then increase up to the iv rate as the pt tolerates.

[freki, ADN, RN]

Yes! This is what I'm looking for! What's been your experience with it? Do you have any policy documents or training materials?