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- Title
Role of Hypodermoclysis in Clinical Care.
- Authors
Smithard, David; Leslie, Paula
- Abstract
The replacement of fluids (usually water), may be undertaken in one of three ways: * orally: People may drink it or it may be administered via an enteral tube; * intravenously where fluid is provided via a cannula into a vein; or * subcutaneously, where fluids are administered between the subcutaneous layer of the skin and fat. This is called hypodermoclysis. As speech-language pathologists (SLPs) monitor the ability to swallow, they are in an ideal position, particularly in community settings, to identify problems with hydration. People with dysphagia may require a modification to their diet. Fluids are frequently thickened, which then results in reduction of fluid (water) intake. When the amount of water drunk is exceeded by the amount of water lost (e.g., urine, feces, sweat, and breath) dehydration may result. Clinically, dehydration may present as agitation, dry skin and tongue (mouth), and reduced skin elasticity. Hypodermoclysis is a simple technique that can be used in the community with minimal training and can be used to supplement oral intake. The SLP is ideally placed to suggest this to the physician caring for the patient.
- Subjects
DEHYDRATION prevention; DEGLUTITION disorders; DRINKING (Physiology); FLUID therapy; SPEECH therapists; TREATMENT effectiveness; HYPODERMOCLYSIS
- Publication
Perspectives of the ASHA Special Interest Groups, 2016, Vol 1, Issue 13, p81
- ISSN
2381-473X
- Publication type
Article
- DOI
10.1044/persp1.SIG13.81