2017
DOI: 10.1590/0034-7167-2016-0424
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Abstract: Objective: To describe the evidence in the literature regarding the knowledge and practices of the nursing team about subcutaneous administration of drugs and fl uids in adults. Method: Integrative review of the literature using the descriptors "nursing", "hypodermoclysis", "drug administration routes", "adult health," and "knowledge," in English, Spanish, and Portuguese, with no publication deadline. Of the 569 articles found, eight made up the sample. Results: A predominance of international journals (75%) w… Show more

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Cited by 17 publications
(26 citation statements)
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“…Subcutaneous hydration has been primarily studied in the hospital sector (n = 6), palliative care and hospice setting (n = 3), long term care (n = 1) and one study discussed the home care setting as being appropriate (however, no data provided) [39]. One RCT, one multicentre pilot, 2 case series and 1 case report studied the pediatric population.…”
Section: Populationmentioning
confidence: 99%
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“…Subcutaneous hydration has been primarily studied in the hospital sector (n = 6), palliative care and hospice setting (n = 3), long term care (n = 1) and one study discussed the home care setting as being appropriate (however, no data provided) [39]. One RCT, one multicentre pilot, 2 case series and 1 case report studied the pediatric population.…”
Section: Populationmentioning
confidence: 99%
“…No studies compared the safety or efficacy of these specific hydration solutions. There is insufficient evidence to recommend Ringer [16,39,42]; upper extremities (deltoid region preferred) [16,39,42]; flank [26]; hips [26]; thighs d [39,42] Contraindicated: bony prominences [16]; joints [16]; previous surgical incision [16]; radiotherapy [16]; damaged skin [16]; intercostal space in cachectic patients (high risk of pneumothorax) [39]; near mastectomy, tumour, ascites, lymphedema [39]; inner thigh if urinary catheter [39]; thigh if peripheral vascular insufficiency [39] Cleanse skin with povidone-iodine or chlorhexidine 2%. Flush cannula with at least 0.…”
Section: Populationmentioning
confidence: 99%
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“…A despeito de suas vantagens, como pela maior facilidade de punção e menor risco de complicações graves (7) , o uso da via subcutânea para infusão de medicamentos e soluções ainda é considerado uma prática subutilizada na clínica assistencial. Assim, a realização de estudos em relação ao procedimento se faz necessária, motivando o desenvolvimento des-ta pesquisa.…”
Section: Introductionunclassified
“…Algumas contraindicações podem ser citadas, tais como: recusa do paciente, presença de anasarca, necessidade rápida de reposição de volume, distúrbio de coagulação, hemorragia, foco infeccioso perto do local da punção e em pacientes em tratamento com radioterapia -nesses casos -o local a ser puncionado deve ser diferente do irradiado 6 . O fato de poder ser interrompida a infusão a qualquer momento, pelo cuidador ou pelo próprio paciente, de apresentar riscos mínimos e raros efeitos colaterais, reversíveis e de pouca importância clínica, torna a hipodermóclise uma via segura para o paciente e o cuidador familiar 2 .…”
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