Complications of the subcutaneous route in the infusion of medications and solutions in palliative care
DOI:
https://doi.org/10.15253/2175-6783.20192040933Keywords:
Nursing Care; Hypodermoclysis; Palliative Care; Infusions, Subcutaneous.Abstract
Objective: to characterize the complications associated with the use of the subcutaneous route for infusion of drugs and solutions in palliative care. Methods: observational, prospective study conducted at the Palliative Care Unit of a general teaching hospital. Results: the study analized seventy-eight patients in palliative care, in whom 254 punctures for infusion of drugs and/or solutions through the subcutaneous route were made. Most patients were elderly (87.3%) and malnourished (69.2%). In 33.0%, the route was indicated for symptom control; in 50.0%, the puncture occurred in the anterolateral thigh flap; 65.4% of the punctures showed no complication. Among the identified complications, 9.4% were edema and 9.1% hyperemia, and 53.8% occurred in the deltoid region. Cellulite occurred in only 3.5%. Conclusion: the infusion of solutions using the subcutaneous route can be considered a safe alternative, with risk of complications which are mostly reversible and with low potential to cause damage to patients.
References
Saad PM. Envelhecimento populacional: demandas e possibilidades na área de saúde. Series Demográficas. ABEP [Internet]. 2016 [citado 2019 ago. 10]; 3:153-66. Disponível em: http://www.abep.org.br/~abeporgb/publicacoes/index.php/series/article/viewFile/71/68
Sociedade Brasileira de Geriatria e Gerontologia. Vamos falar de cuidados paliativos [Internet]. 2016 [citado 2019 fev 18]. Disponível em: http://sbgg.org.br/wp-content/uploads/2014/11/vamos-falar-de-cuidados-paliativos-vers--o-online.pdf
World Health Organization. WHO definition of palliative care [Internet]. 2010 [cited Feb 22, 2019]. Available from: http://www.who.int/cancer/palliative/ definition/en accessed
Azevedo DL. O uso da via subcutânea em geriatria e cuidados paliativos: um guia da SBGG e da ANCP para profissionais. Rio de Janeiro: SBGG; 2017.
Riegel F, Costa KC, Oliveira Junior J, Migowski ER, Siqueira DS. Eficácia da hipodermóclise na administração de medicamentos em cuidados paliativos. Rev Enferm UFPI [Internet]. 2018 [citado 2019 jan. 08]; 7(2):64-71. Disponível em:http://www.ojs.ufpi.br/index.php/reufpi/article/view/6807
Nunes PMSA, Souza RCS. Adverse effects of hypodermoclysis in adult patients: an integrative review. Rev Min Enferm. 2016; 20:e951. doi: http://dx.doi.org/10.5935/1415-2762.20160020
Gomes NS, Silva AMB, Zago LB, Lima e Silva EC, Barichello E. Nursing knowledge and practices regarding subcutaneous fluid administration. Rev Bras Enferm. 2017; 70(5):1096-105. doi: http://dx.doi.org/10.1590/0034-7167-2016-0424
Rodrigues LA, Ligeiro C, Silva MD. Cuidados paliativos, diagnósticos e terminalidade: indicação e início do processo de paliação [Internet]. 2015 [citado 2019 jan. 08]; 9(1):26-35. Disponível em: http://fundacaopadrealbino.org.br/facfipa/ner/pdf/Revistacuidarteenfermagem%20v.%209%20n.1%20%20jan.%20jun%202015.pdf
Bezerra S, Mauriz P. Protocolo de cuidados paliativos multiprofissional do Hospital Regional do Cariri [Internet]. 2015 [citado 2019 abr 06]. Disponível em: http://paliativo.org.br/revista/revista-ancp-ed2.pdf
Oliveira HAD, Freitas IMD, Braga PG, Santos POO, Alcântara CO, Cintra MTG, et al. Análise do uso de terapia invasivas em pacientes oncológicos em cuidados paliativos internados em dois hospitais públicos gerais de Belo Horizonte. Rev Med Minas Gerais. 2018; 28(Supl 5):280515. doi: http://www.dx.doi.org/10.5935/2238-3182.20180127
Figueiredo JF, Souza VM, Coelho HV, Souza RS. Qualidade de vida de pacientes oncológicos em cuidados paliativos. Rev Enferm Centro-Oeste Min. 2018; 8:e2638. doi: http://dx.doi.org/10.19175/recom.v8i0.2638
Silva RS, Oliveira CC, Pereira Á, Amaral JB. The treatment of terminally ill patients in the perception of nursing undergraduates. Rev Rene. 2015; 16(3):415-24. doi: http://dx.doi.org/10.15253/2175-6783.2015000300015
Abreu WC. Cuidados paliativos para utentes com demência avançada: reflexões sobre a sua implementação. Rev Port Enferm Saúde Mental. 2016; (16):6-10. doi: http://dx.doi.org/10.19131/rpesm.0151
Bakitas MA, Tosteson TD, Li Z, Lyons KD, Hull JG, Li Z, et al. Early versus delayed initiation of concurrent palliative oncology care: patient outcomes in the ENABLE III randomized controlled trial. J Clin Oncol. 2015; 33(13):1438-45. doi: http://dx.doi.org/10.1200/JCO.2014.58.6362
Adriani PA, Siqueira AC, Barbosa AF, Carmo JS, Pontes NS, Rocha VPS. A aplicação da hipodermóclise em pacientes durante os cuidados paliativos. UniÍtalo Pesqu [Internet]. 2016 [citado 2019 mar 22]; 6(2):65-89. Disponível em: http://pesquisa.italo.br/index.php?journal=uniitalo&page=article&op=view&path%5B%5D=57&path%5B%5D=57
Gabriel J. Subcutaneos fluid administration and the hydration of older people. Br J Nurs. 2014 [cited July 24, 2019];23(suppl 14):10-4. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25062366
Beales A. An innovative approach to hydration for a patient with dementia. Nurs Older People. 2017; 29(4):26-29. http://dx.doi.org/10.7748/nop.2017.e898
Quaglio RC, Varallo FR, Lima NKC, Junqueira AF, Júnior EI, Matumoto S, Fortuna CM. Medicamentos passíveis de infusão por hipodermóclise. Medicina (Ribeirão Preto). 2018; 51(1):55-68. doi: http://dx.doi.org/10.11606/issn.2176-7262.v51i1p55-68
Lima MPO, Oliveira MCX. Meanings of nursing care for relatives of patients receiving palliative care. Rev Rene. 2015; 16(4):593-602. doi: http://dx.doi.org/10.15253/2175-6783.2015000400017
Kavalieratos D, Corbelli J, Zhang D, Dionne-Odom JN, Ernecoff NC, Hanmer J, et al. Association between palliative care and patient and caregiver outcomes: a systematic review and meta-analysis. JAMA. 2016; 316(20):2104-14. doi: http://dx.doi.org/10.1001/jama.2016.16840
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2019 Rev Rene
This work is licensed under a Creative Commons Attribution 4.0 International License.
