{"id":1845,"date":"2022-10-26T09:03:22","date_gmt":"2022-10-26T12:03:22","guid":{"rendered":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/?p=1845"},"modified":"2022-11-16T11:05:42","modified_gmt":"2022-11-16T14:05:42","slug":"manuseio-nutricao-parenteral","status":"publish","type":"post","link":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/manuseio-nutricao-parenteral\/","title":{"rendered":"Veja quais s\u00e3o os cuidados no manuseio da nutri\u00e7\u00e3o parenteral"},"content":{"rendered":"<p>O fornecimento de <a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/post-o-que-e-nutricao-parenteral\/\">nutrientes via parenteral<\/a> \u00e9 parte essencial na aten\u00e7\u00e3o aos pacientes em condi\u00e7\u00f5es cr\u00edticas e que n\u00e3o podem receber alimenta\u00e7\u00e3o pela via enteral. No entanto, tal pr\u00e1tica permanece como um desafio para os respons\u00e1veis pelo manejo da condi\u00e7\u00e3o nutricional, uma vez que s\u00e3o <strong>v\u00e1rios os cuidados no manuseio da nutri\u00e7\u00e3o parenteral (NP).<\/strong><\/p>\n<p>Diante disso, entre os aspectos principais para garantir que esse suporte cumpra seu prop\u00f3sito, est\u00e3o a correta <strong>avalia\u00e7\u00e3o do estado cl\u00ednico e nutricional do paciente, a escolha da via de infus\u00e3o e o acompanhamento de poss\u00edveis complica\u00e7\u00f5es<\/strong>, entre outros aspectos.<\/p>\n<p>&nbsp;<\/p>\n<h2>As indica\u00e7\u00f5es da nutri\u00e7\u00e3o parenteral<\/h2>\n<p><strong>A nutri\u00e7\u00e3o parenteral \u00e9 indicada para pacientes com quadros de desnutri\u00e7\u00e3o e que n\u00e3o toleram a nutri\u00e7\u00e3o por via oral e\/ou enteral<\/strong>. Tais condi\u00e7\u00f5es de desnutri\u00e7\u00e3o podem ser provenientes da inani\u00e7\u00e3o ou de doen\u00e7as agudas ou cr\u00f4nicas<a class=\"bibliography-sup\" title=\"Lappas B.M.; Patel D.; Kumpf V.; Adams D.W.; Seidner D.L. Parenteral Nutrition: Indications, Access, and Complications. Gastroenterol Clin North Am. 2018. Mar;47(1):39-59.\" href=\"#\" data-bibliography-link=\"\">1<\/a>.<\/p>\n<p>Muitas dessas doen\u00e7as ou mesmo traumas geram respostas inflamat\u00f3rias que alteram o metabolismo do corpo. Isso resulta em maior consumo de energia, no catabolismo <a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/perda-muscular-em-pacientes-hospitalizados-nutricao-ajuda\/\">muscular<\/a> e em mudan\u00e7as no balan\u00e7o eletrol\u00edtico.\u00a0 Portanto, nesses casos ser\u00e1 necess\u00e1rio fornecer fontes adicionais de energia e de nutrientes ao paciente.<\/p>\n<p>De todo modo, caso a alimenta\u00e7\u00e3o oral seja invi\u00e1vel, a nutri\u00e7\u00e3o enteral deve ser sempre a prioridade, a menos que haja contraindica\u00e7\u00e3o. Entre as principais <a class=\"bibliography-sup\" title=\"Protocolo de Terapia Nutricional Enteral e Parenteral da Comiss\u00e3o de Suporte Nutricional. Universidade Federal de Goi\u00e1s. Dispon\u00edvel em: https:\/\/www.gov.br\/ebserh\/pt-br\/hospitais-universitarios\/regiao-centro-oeste\/hc-ufg\/governanca\/comissoes-e-comites\/6aManualdeNutricaoParenteraleEnteral.pdf\" href=\"#\" data-bibliography-link=\"\">9<\/a>:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Traumas e obstru\u00e7\u00f5es intestinais;<\/li>\n<li>Hemorragia gastrointestinal;<\/li>\n<li>Instabilidade hemodin\u00e2mica;<\/li>\n<li>Inflama\u00e7\u00f5es e infec\u00e7\u00f5es gastrointestinais;<\/li>\n<li>Problemas na absor\u00e7\u00e3o de nutrientes;<\/li>\n<li>F\u00edstulas no intestino delgado;<\/li>\n<li>V\u00f4mitos e Diarreias Intrat\u00e1veis;<\/li>\n<li>S\u00edndrome do Intestino Curto;<\/li>\n<li>Choque severo;<\/li>\n<li>Volume residual g\u00e1strico &gt; 400 ml\/24h<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Portanto, a nutri\u00e7\u00e3o parenteral \u00e9 indicada nas situa\u00e7\u00f5es em que o trato intestinal n\u00e3o funciona de forma adequada ou haja traumas graves que impe\u00e7am a alimenta\u00e7\u00e3o via oral ou enteral.<\/p>\n<p>Por isso, \u00e9 importante que <strong>uma equipe multidisciplinar avalie o estado cl\u00ednico do paciente, incluindo sua condi\u00e7\u00e3o nutricional<\/strong>, assegurando a melhor decis\u00e3o pela vai de nutri\u00e7\u00e3o.<\/p>\n<p>&nbsp;<\/p>\n<h2>T\u00e9cnicas de infus\u00e3o: administra\u00e7\u00e3o venosa central ou perif\u00e9rica<\/h2>\n<p>Um dos cuidados no manuseio da nutri\u00e7\u00e3o parenteral envolve a defini\u00e7\u00e3o da t\u00e9cnica de infus\u00e3o, determinando se ela ser\u00e1 feita <strong>por administra\u00e7\u00e3o venosa central ou perif\u00e9rica.<\/strong><\/p>\n<p>Uma escolha adequada e consciente aumenta as chances de sucesso da terapia e reduz o risco de complica\u00e7\u00f5es, al\u00e9m de ser fundamental para a sa\u00fade e o bem-estar do paciente. Tal avalia\u00e7\u00e3o envolve algumas vari\u00e1veis que devem ser consideradas como o per\u00edodo da manuten\u00e7\u00e3o da NP, o local de administra\u00e7\u00e3o (em ambiente hospitalar ou domiciliar), o volume necess\u00e1rio, a composi\u00e7\u00e3o e a concentra\u00e7\u00e3o da solu\u00e7\u00e3o utilizada<a class=\"bibliography-sup\" title=\"Acessos para Terapia de Nutri\u00e7\u00e3o Parenteral e Enteral. Sociedade Brasileira de Nutri\u00e7\u00e3o Parenteral e Enteral Associa\u00e7\u00e3o Brasileira de Nutrologia. Dispon\u00edvel em https:\/\/amb.org.br\/files\/_BibliotecaAntiga\/acessos_para_terapia_de_nutricao_parenteral_e_enteral.pdf\" href=\"#\" data-bibliography-link=\"\">8<\/a>.<\/p>\n<p>&nbsp;<\/p>\n<h3>Acesso venoso central<\/h3>\n<p>O acesso venoso central deve ser priorizado em <strong>terapias de nutri\u00e7\u00e3o parenteral de m\u00e9dia e longa dura\u00e7\u00e3o.<\/strong> Normalmente, per\u00edodos superiores a 15 dias s\u00e3o considerados de longa dura\u00e7\u00e3o<a class=\"bibliography-sup\" title=\"Correia M.I.T.D. Indica\u00e7\u00e3o, formula\u00e7\u00e3o e monitoriza\u00e7\u00e3o em nutri\u00e7\u00e3o parenteral perif\u00e9rica. WAITZBERG, D.L. Nutri\u00e7\u00e3o oral, enteral e parenteral na pr\u00e1tica cl\u00ednica. 5\u00aa ed. Rio de Janeiro: Atheneu, 2017.\" href=\"#\" data-bibliography-link=\"\">2<\/a>. Os locais de inser\u00e7\u00e3o percut\u00e2nea mais comuns s\u00e3o <strong>as veias subcl\u00e1vias, jugulares internas e femorais.<\/strong><\/p>\n<p>As vantagens do acesso central envolvem uma <strong>menor limita\u00e7\u00e3o ao tipo, ao PH, a osmolaridade e o volume da infus\u00e3o<a class=\"bibliography-sup\" title=\"Lappas B.M.; Patel D.; Kumpf V.; Adams D.W.; Seidner D.L. Parenteral Nutrition: Indications, Access, and Complications. Gastroenterol Clin North Am. 2018. Mar;47(1):39-59.\" href=\"#\" data-bibliography-link=\"\">1<\/a><\/strong>. Devido ao risco maior de infec\u00e7\u00f5es, o procedimento de inser\u00e7\u00e3o do cateter deve ser feito seguindo rigorosos protocolos de assepsia.<\/p>\n<p>Uma alternativa ao cateter central, incluindo as op\u00e7\u00f5es semi ou totalmente implant\u00e1veis, \u00e9 o PICC <em>(peripherally inserted central catheters).<\/em> Esse \u00e9 o meio indicado principalmente para a pediatria e para NP em ambiente hospitalar e at\u00e9 domiciliar, ainda que alguns estudos mostrem associa\u00e7\u00e3o a um maior risco de infec\u00e7\u00f5es relacionadas \u00e0 manipula\u00e7\u00e3o do cateter, outras publica\u00e7\u00f5es mostram o inverso<a class=\"bibliography-sup\" title=\"DeLegee M.H.; Borak G.; Moore N.. Central venous access in the home parenteral nutrition population-you PICC. JPEN J. Parenter Enteral Nutr., 2005;29:425-8. \" href=\"#\" data-bibliography-link=\"\">4<\/a><sup>,<a class=\"bibliography-sup\" title=\"Pittiruti M.; Hamilton H.; Biffi R.; MacFie J.; Pertkiewicz M.. ESPEN. Guidelines on Parenteral Nutrition: Central Venous Catheters (access, care, diagnosis and therapy of complications). Clin. Nutr. 2009;28:365-77. \" href=\"#\" data-bibliography-link=\"\">5<\/a><\/sup>.<\/p>\n<p>Ele \u00e9 introduzido perifericamente por via percut\u00e2nea at\u00e9 a veia cava superior. As vias escolhidas para esse procedimento s\u00e3o a cef\u00e1lica, a bas\u00edlica e a cubital m\u00e9dia<a class=\"bibliography-sup\" title=\"Lappas B.M.; Patel D.; Kumpf V.; Adams D.W.; Seidner D.L. Parenteral Nutrition: Indications, Access, and Complications. Gastroenterol Clin North Am. 2018. Mar;47(1):39-59.\" href=\"#\" data-bibliography-link=\"\">1<\/a><sup>,<a class=\"bibliography-sup\" title=\"Pittiruti M.; Hamilton H.; Biffi R.; MacFie J.; Pertkiewicz M.. ESPEN. Guidelines on Parenteral Nutrition: Central Venous Catheters (access, care, diagnosis and therapy of complications). Clin. Nutr. 2009;28:365-77. \" href=\"#\" data-bibliography-link=\"\">5<\/a><\/sup>.<\/p>\n<h3><\/h3>\n<p>&nbsp;<\/p>\n<h3>Acesso venoso perif\u00e9rico<\/h3>\n<p><strong>A via vascular perif\u00e9rica \u00e9 o m\u00e9todo mais seguro e f\u00e1cil de inser\u00e7\u00e3o do cateter.<\/strong> Todavia, ele \u00e9 indicado apenas para per\u00edodos curtos para a utiliza\u00e7\u00e3o com solu\u00e7\u00f5es de baixa osmolaridade (de at\u00e9 850 mOsm\/L)<a class=\"bibliography-sup\" title=\"Pittiruti M.; Hamilton H.; Biffi R.; MacFie J.; Pertkiewicz M.. ESPEN. Guidelines on Parenteral Nutrition: Central Venous Catheters (access, care, diagnosis and therapy of complications). Clin. Nutr. 2009;28:365-77. \" href=\"#\" data-bibliography-link=\"\">5<\/a>.<\/p>\n<p>A inser\u00e7\u00e3o pode ser feita com um aux\u00edlio de um dispositivo para infus\u00e3o intravenosa (scalp) nas extremidades da parte superior do corpo. Nessa op\u00e7\u00e3o s\u00e3o menores as chances de infec\u00e7\u00f5es relacionadas ao cateter, embora a literatura aponte um risco maior de tromboflebite<a class=\"bibliography-sup\" title=\"Ryder, M.. Evidence\u2010based practice in the management of vascular access devices for home parenteral nutrition therapy. Journal of Parenteral and Enteral Nutrition, 2006, 30, S82-S93.\" href=\"#\" data-bibliography-link=\"\">6<\/a>.<\/p>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1846\" src=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2022\/10\/fre-blog-1-cuidado-manuseio-np.png\" alt=\"\" width=\"1997\" height=\"1480\" srcset=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2022\/10\/fre-blog-1-cuidado-manuseio-np.png 1997w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2022\/10\/fre-blog-1-cuidado-manuseio-np-300x222.png 300w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2022\/10\/fre-blog-1-cuidado-manuseio-np-1024x759.png 1024w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2022\/10\/fre-blog-1-cuidado-manuseio-np-768x569.png 768w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2022\/10\/fre-blog-1-cuidado-manuseio-np-1536x1138.png 1536w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2022\/10\/fre-blog-1-cuidado-manuseio-np-506x375.png 506w\" sizes=\"auto, (max-width: 1997px) 100vw, 1997px\" \/><\/p>\n<h2>As poss\u00edveis complica\u00e7\u00f5es da nutri\u00e7\u00e3o parenteral<\/h2>\n<p>As <strong>complica\u00e7\u00f5es relativas \u00e0 nutri\u00e7\u00e3o parenteral podem se dar tanto pelo manejo do cateter na via de inser\u00e7\u00e3o, quanto por quest\u00f5es envolvendo par\u00e2metros nutricionais e metab\u00f3licos<\/strong>. Logo, as principais complica\u00e7\u00f5es associadas a essa terapia s\u00e3o <a class=\"bibliography-sup\" title=\"Lappas B.M.; Patel D.; Kumpf V.; Adams D.W.; Seidner D.L. Parenteral Nutrition: Indications, Access, and Complications. Gastroenterol Clin North Am. 2018. Mar;47(1):39-59.\" href=\"#\" data-bibliography-link=\"\">1<\/a><sup>,<a class=\"bibliography-sup\" title=\"Nutri\u00e7\u00e3o parenteral total (NPT) - Dist\u00farbios nutricionais - Manuais MSD edi\u00e7\u00e3o para profissionais. Dispon\u00edvel em: https:\/\/www.msdmanuals.com\/pt-br\/profissional\/dist%C3%BArbios-nutricionais\/suporte-nutricional\/nutri%C3%A7%C3%A3o-enteral-por-sonda\" href=\"#\" data-bibliography-link=\"\">7<\/a><\/sup>:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Problemas vasculares;<\/li>\n<li>Hiperglicemia;<\/li>\n<li>S\u00edndrome de realimenta\u00e7\u00e3o;<\/li>\n<li>Complica\u00e7\u00f5es tromboemb\u00f3licas, renais, hep\u00e1ticas e biliares;<\/li>\n<li>Infec\u00e7\u00f5es;<\/li>\n<li>Doen\u00e7a metab\u00f3lica \u00f3ssea.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Apesar disso, <strong>a maioria das complica\u00e7\u00f5es mencionadas pode ser prevenida <\/strong>com a escolha adequada da via de acesso, a prepara\u00e7\u00e3o e monitoramento apropriado da qualidade da f\u00f3rmula e o treinamento adequado dos profissionais de sa\u00fade ou dos respons\u00e1veis pelo cuidado dos pacientes, principalmente quando eles requerem longos per\u00edodos de tratamento.<\/p>\n<p>Logo, com tudo isso em mente, \u00e9 poss\u00edvel estabelecer protocolos efetivos para que todos os cuidados de manuseio da nutri\u00e7\u00e3o parenteral sejam tra\u00e7ados e monitorados, independente da condi\u00e7\u00e3o do paciente.<\/p>\n<p>&nbsp;<\/p>\n<p>Continue navegando na nossa p\u00e1gina para saber mais sobre <a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/category\/nutricao-clinica\/\">nutri\u00e7\u00e3o cl\u00ednica<\/a>.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>O fornecimento de nutrientes via parenteral \u00e9 parte essencial na aten\u00e7\u00e3o aos pacientes em condi\u00e7\u00f5es cr\u00edticas e que n\u00e3o podem receber alimenta\u00e7\u00e3o pela via enteral. No entanto, tal pr\u00e1tica permanece como um desafio para os respons\u00e1veis pelo manejo da condi\u00e7\u00e3o nutricional, uma vez que s\u00e3o v\u00e1rios os cuidados no manuseio da nutri\u00e7\u00e3o parenteral (NP). Diante [&hellip;]<\/p>\n","protected":false},"author":67,"featured_media":1847,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[47,4],"tags":[196,197,76,67,198],"class_list":["post-1845","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artigo-4","category-nutricao-clinica","tag-acesso-venoso-central","tag-acesso-venoso-periferico","tag-nutricao-enteral","tag-nutricao-parenteral","tag-tratamento"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Veja o que considerar no manuseio da nutri\u00e7\u00e3o parenteral<\/title>\n<meta name=\"description\" content=\"Saiba quais os fatores que impactam na escolha da via de acesso da nutri\u00e7\u00e3o parenteral e evite as principais complica\u00e7\u00f5es dessa interven\u00e7\u00e3o.\" \/>\n<meta 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