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Pamela Clark

Pamela Clark, CRNI, is an infusion nurse with the Houston Methodist Sugar Land Hospital.  She has more than 35 years of experience in infusion therapy and infusion education with both licensed nurses and patients. Her experience spans multiple infusion settings including: acute care, long-term care, home infusion, and ambulatory infusion care. She also has experience in oncology and oncology research.

Read Pamela Clark's Full Bio...

Class Accreditation

All states recognize our courses for accredited continuing nursing education, CNE, contact hours. This course is accredited by the following boards:

Provider approved by the California Board of Registered Nursing, Provider # CEP 15467.

Provider approved by the Arkansas, District of Columbia, Florida, Georgia, New Mexico, North Dakota, South Carolina, and West Virginia Boards of Nursing through CE Broker, CE Provider #: 50-13256. 

Reducing Hospitalization with Hypodermoclysis

Contact Hours: 1.5
Cost: $20.00

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Reducing Hospitalization with Hypodermoclysis
This instructional course has been designed to provide information regarding the use of hypodermoclysis, also known simply as clysis, to achieve rehydration in patients who might otherwise require hospitalization. Dehydration is a common occurrence, especially in the older population. Clysis is an optimal means of administering non-emergent parenteral fluids in a familiar, comfortable environment. This intervention is cost-effective, easy to administer, and safer than intravenous rehydration, but many nurses are unfamiliar with the therapy. This course will prepare the licensed nurse to provide this valuable intervention, thereby decreasing the risk of hospitalization with its associated risks and costs. This course provides 1.5 contact hours of continuing education. 

In early 2021, the Infusion Nurses Society (INS), recognized as the global authority in infusion therapy, released the updated Infusion Therapy Standards of Practice. The INS sets the accepted standards for infusion therapy practice for all healthcare settings. This course is based on the current best practices as defined by the Infusion Nursing Society and other governing agencies such as the CDC, and FDA.


Upon completion of this course, the participant will be able to:
  1. Identify at least 3 factors that contribute to dehydration in the elderly.
  2. Define hypodermoclysis.
  3. Describe the advantages, disadvantages, indications, and contraindications of hypodermoclysis.
  4. Describe the appropriate sites, solutions, volumes and rates for hypodermoclysis.
  5. Describe the procedure for hypodermoclysis administration.
  6. State at least 3 potential complications of hypodermoclysis.


Chapter 1: Dehydration

  • Scope of Problem
  • Contributing Factors
  • Signs and Symptoms
  • Assessment

Chapter 2: Hypodermoclysis Introduction

  • Advantages
  • Disadvantage
  • Indications
  • Contraindications
  • Use in Terminally Ill Patients

Chapter 3: Infusion Parameters

  • Sites
  • Solutions
  • Volume and Rate
  • Hyaluronidase

Chapter 4: Administration

  • Equipment
  • Procedures

Chapter 5: Complications

  • Systemic Complications
  • Local Complications

Chapter 6: Communication and Documentation

Chapter 7: Resources