today we are talking all about hypodermoclysis welcome back my name is
Tammy and this is nurse minder and on this channel we do everything nursing so
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its release so before we start looking at how to insert and care for our
hypodermoclysis we need to know why we're using it so that we can make sure
it's the right treatment for the right reason for some patients they're just
not safe to take fluid or medications through the oral route maybe they've got
a risk for aspiration of dysphasia another one might be they have a
malabsorption and they just can't absorb things in their belly and the second
main reason that we use hypodermoclysis is because the veins in their hands and
their arms are so poor we can't see them we can't hit them they're too thin
they're too fragile so we're just gonna go to a hypodermoclysis when it comes
to site selection we're looking for pockets of subcutaneous tissue and there
are some preferred sites so for example we've got the back of the arm here lots
of subcutaneous tissue they're coming across the anterior chest just under the
clavicle this is another good location again you can go across the body so
we've got the two arms and the two anterior chest you can also go behind
the back scapula just above it that's another great place and of course we all
know the abdomen has a lot of subcutaneous tissue I am NOT going to
show you mine but then the other place would be the legs the legs we can go
anterior side or lateral thigh in terms of supplies we will need a chlorhexidine
swab to clean the area for 30 seconds if your patient is allergic to this you can
use an alcohol swab we will need our catheter our HDC we'll need our Tegaderm
to secure it and we'll need our Neutral connector to attach after we've pulled
out the sheath and of course your gloves so after we've washed our hands we would
start the procedure well want to do now is to
prepare our equipment so we're going to open up our package first thing is to
check the expiry date and we can open this up let me get my swab ready my
securing device that's ready to go open up my neutral connector step 1 clean the
site we're gonna use our chlorhexidine pad here and we're going to scrub for 30
seconds we initially begin with some firm pressure using strokes going up and
down and we want to come for a nice base there to reduce the microorganisms as
we're going to be entering the skin so after we've completed a 15 second scrub
going up and down we're now going to flip the chlorhexidine pad and we're
going to use a back and forth motion and we're going to continue for another 15
seconds to ensure that the site is prepared efficiently for our insertion
now once it is completed we will let it air dry it's important to note that we
do not fan the site so next we're going to get our gloves on grab our HDC take
Kathlyn off and pinch our skin gently you don't want to grab too deep because
you'll get muscle I've got the HDC in my fingers so that I'm holding onto the
the bevelled edge catheter tip is up quick insertion into the subcutaneous tissue
and we're going to secure that grasp the plastic end and just simply pull out the
needle from your HDC and you are left with your catheter Institute
now is the time to grab your dressing and we're going to secure the HDC so we
do not lose the line that we've just inserted go ahead and pull off the
backing ensure that we have a nice seal all the way around our Tegaderm we can
go ahead then and exchange the cap for a neutral connector all that's left to do
next is to lock off the line and make sure we put our label on it now the
label needs to have the date of insertion the type of drug and the
concentration of the drug because this is going to be a dedicated line today
we've learned how to insert an HDC or a hypodermic Isis I've got a bunch of
other videos here just for you take a look around and until next time have a
great day