{"id":1887,"date":"2023-03-29T13:42:58","date_gmt":"2023-03-29T16:42:58","guid":{"rendered":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/?p=1887"},"modified":"2023-03-29T13:42:58","modified_gmt":"2023-03-29T16:42:58","slug":"emulsao-lipidica-injetavel","status":"publish","type":"post","link":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsao-lipidica-injetavel\/","title":{"rendered":"Emuls\u00e3o lip\u00eddica injet\u00e1vel: quais as principais recomenda\u00e7\u00f5es de seguran\u00e7a?"},"content":{"rendered":"<p><strong>Uma emuls\u00e3o lip\u00eddica injet\u00e1vel \u00e9 uma formula\u00e7\u00e3o farmac\u00eautica complexa, que funciona como fonte importante de energia e \u00e1cidos graxos essenciais em regimes de nutri\u00e7\u00e3o parenteral<sup>1<\/sup>.<\/strong> Embora amplamente empregado h\u00e1 algumas d\u00e9cadas, \u00e9 importante que o uso das emuls\u00f5es lip\u00eddicas injet\u00e1veis seja feito seguindo algumas recomenda\u00e7\u00f5es a fim de evitar riscos e, dessa forma, possa realmente beneficiar pacientes. Logo, deve haver um controle pr\u00f3ximo, durante todas as etapas, indo desde a prescri\u00e7\u00e3o at\u00e9 o monitoramento do paciente.<\/p>\n<p>Sendo assim, vale refor\u00e7ar quais s\u00e3o as melhores pr\u00e1ticas para a administra\u00e7\u00e3o desse tipo de formula\u00e7\u00e3o, com o intuito de promover a seguran\u00e7a e minimizar potenciais problemas.<\/p>\n<p>Para favorecer a ado\u00e7\u00e3o delas, repassaremos algumas das recomenda\u00e7\u00f5es e consensos sobre o tema a partir das diretrizes da <a href=\"https:\/\/www.nutritioncare.org\/\">ASPEN (American Society for Parenteral and Enteral Nutrition<\/a> e de outras entidades amplamente reconhecidas.<\/p>\n<p>&nbsp;<\/p>\n<h2>Indica\u00e7\u00e3o e prescri\u00e7\u00e3o<\/h2>\n<p>Em adultos, as emuls\u00f5es lip\u00eddicas s\u00e3o inclu\u00eddas em regimes de nutri\u00e7\u00e3o parenteral como fonte importante de energia n\u00e3o proteica, bem como para evitar a defici\u00eancia de \u00e1cidos graxos essenciais<sup>1<\/sup>. Dessa forma, elas contribuem para a manuten\u00e7\u00e3o de um estado nutricional adequado, o que favorece o processo de recupera\u00e7\u00e3o. Em nascidos pr\u00e9-termo, as emuls\u00f5es lip\u00eddicas desempenham papel importante no desenvolvimento e crescimento adequado do neonato<sup>2<\/sup>.<\/p>\n<p><strong>Para as prescri\u00e7\u00f5es (incluindo a<\/strong><a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/dosagens-adequadas-na-nutricao-parenteral-entenda-a-importancia\/\"><strong> dosagem de administra\u00e7\u00e3o<\/strong><\/a><strong> das emuls\u00f5es lip\u00eddicas em gramas\/dia), \u00e9 preciso levar em conta o grau de comprometimento do estado cl\u00ednico do paciente.<\/strong> A dose indicada n\u00e3o deve superar o m\u00e1ximo recomendado de acordo com o tipo de \u00f3leo inclu\u00eddo na emuls\u00e3o. Ademais, tal ajuste deve ser feito levando em conta o risco de defici\u00eancia de \u00e1cidos graxos<sup>2<\/sup>.<\/p>\n<p><strong>Toda prescri\u00e7\u00e3o de emuls\u00e3o lip\u00eddica deve considerar ainda o risco de rea\u00e7\u00f5es al\u00e9rgicas e outras eventuais contraindica\u00e7\u00f5es de acordo com o perfil do paciente.<\/strong> Embora n\u00e3o seja comum, \u00e9 poss\u00edvel que pessoas manifestem rea\u00e7\u00f5es al\u00e9rgicas a um ou mais componentes das emuls\u00f5es. Tais rea\u00e7\u00f5es podem ir de manifesta\u00e7\u00f5es locais moderadas a quadros de choque anafil\u00e1ticos<sup>3<\/sup>. Entre os potenciais alerg\u00eanicos das emuls\u00f5es lip\u00eddicas est\u00e3o a soja, o peixe e os ovos<sup>1<\/sup>.<\/p>\n<p>&nbsp;<\/p>\n<h2>Prepara\u00e7\u00e3o e administra\u00e7\u00e3o<\/h2>\n<p>Toda manipula\u00e7\u00e3o das emuls\u00f5es lip\u00eddicas, assim como dos outros componentes da <a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/entenda-tudo-sobre-a-nutricao-parenteral-na-unidade-de-terapia-intensiva\/\">nutri\u00e7\u00e3o parenteral<\/a>, deve ser feita seguindo regras estritas de assepsia. <strong>Levando isso em considera\u00e7\u00e3o, as principais diretrizes defendem que a administra\u00e7\u00e3o de emuls\u00f5es lip\u00eddicas seja feita a partir do uso de bolsas multic\u00e2maras ou bolsas compostas conforme s\u00e3o comercializadas<sup>4<\/sup>.<\/strong><\/p>\n<p>No Brasil, <a href=\"https:\/\/bvsms.saude.gov.br\/bvs\/saudelegis\/svs1\/1998\/prt0272_08_04_1998.html\">a\u00a0portaria MS 272\/1998<\/a>, que se refere aos requisitos para o emprego de Terapia de Nutri\u00e7\u00e3o Parenteral, <strong>preconiza que a manipula\u00e7\u00e3o da nutri\u00e7\u00e3o parenteral seja em \u00e1rea limpa grau A ou B (classe 100) ou sob fluxo laminar.<\/strong> Contudo, a portaria n\u00e3o prev\u00ea requisitos adicionais para aditiva\u00e7\u00e3o em bolsas industrializadas. Assim, a adi\u00e7\u00e3o de micronutrientes ou aditivos nestes produto pode ser realizado se estiver previsto na bula destes medicamentos<sup>5<\/sup>.<\/p>\n<p>Ainda com rela\u00e7\u00e3o \u00e0 prepara\u00e7\u00e3o e administra\u00e7\u00e3o, \u00e9 recomendado que um farmac\u00eautico revise todas as misturas de NP solicitadas, sejam elas manipuladas ou preparadas comercialmente no caso de prescri\u00e7\u00e3o conjunta de emuls\u00e3o lip\u00eddica injet\u00e1vel. O objetivo \u00e9 verificar a compatibilidade da NP com os ingredientes da emuls\u00e3o lip\u00eddica, que, em geral, \u00e9 utilizada como emuls\u00e3o final de TNA<sup>4<\/sup> (<em>total nutriente admixture<\/em>), composta por emuls\u00e3o lip\u00eddica intravenosa, glicose e amino\u00e1cidos.<\/p>\n<p>No caso da adi\u00e7\u00e3o da emuls\u00e3o lip\u00eddica injet\u00e1vel a um produto de duas c\u00e2maras tamb\u00e9m \u00e9 necess\u00e1ria a avalia\u00e7\u00e3o cuidadosa de um farmac\u00eautico para evitar incompatibilidade ou instabilidade da f\u00f3rmula<sup>4<\/sup> \u2013 o que implicaria em risco ao paciente.<\/p>\n<p>No mais, \u00e9 recomendado que as emuls\u00f5es administradas em neonatos sejam fotoprotegidas, o que \u00a0evitaria a rea\u00e7\u00e3o da solu\u00e7\u00e3o e a peroxida\u00e7\u00e3o dos lip\u00eddios<sup>2,4<\/sup>. Tal fator \u00e9 importante uma vez que pode provocar aumento da mortalidade em beb\u00eas prematuros<sup>4<\/sup>.<\/p>\n<p>&nbsp;<\/p>\n<p><strong><em>Leia tamb\u00e9m:<\/em><\/strong><a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/o-que-e-omega-3-e-qual-seu-papel-na-nutricao\/\"><strong><em> o que \u00e9 o \u00f4mega-3 e qual seu papel nutricional?<\/em><\/strong><\/a><\/p>\n<p>&nbsp;<\/p>\n<h2>Monitoramento<\/h2>\n<p>A administra\u00e7\u00e3o de <strong>emuls\u00f5es lip\u00eddicas injet\u00e1veis pode de provocar efeitos adversos, como qualquer interven\u00e7\u00e3o terap\u00eautica. <\/strong>Normalmente, tais problemas s\u00e3o dose-relacionados: ou seja, quanto maior o volume de emuls\u00e3o administrado, maior o efeito sentido<sup>1<\/sup>. \u00a0Entre os efeitos adversos mais comuns est\u00e3o<sup>6<\/sup>:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>S\u00edndrome de sobrecarga<\/li>\n<li>Hipercoagula\u00e7\u00e3o<\/li>\n<li>Interfer\u00eancia na fun\u00e7\u00e3o imune<\/li>\n<li>Interfer\u00eancia na fun\u00e7\u00e3o hep\u00e1tica<\/li>\n<li>Comprometimento da fun\u00e7\u00e3o pulmonar<\/li>\n<li>Hipertrigliceridemia<\/li>\n<li>Infec\u00e7\u00f5es<\/li>\n<li>Pancreatite<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Seja como for, tais riscos refor\u00e7am a necessidade de aten\u00e7\u00e3o ao monitoramento durante a infus\u00e3o das emuls\u00f5es lip\u00eddicas. <strong>Entre as estrat\u00e9gias recomendadas para isso est\u00e1 a checagem dos triglic\u00e9rides s\u00e9ricos.<\/strong> Tal acompanhamento deve ser feito semanalmente em pacientes hospitalizados e mensalmente em pacientes que est\u00e3o recebendo a nutri\u00e7\u00e3o parenteral por longos per\u00edodos<sup>7<\/sup>.<\/p>\n<p>A aten\u00e7\u00e3o deve ser redobrada sempre que a concentra\u00e7\u00e3o de triglic\u00e9rides superar os 200 mg\/dL em adultos<sup>7<\/sup>, embora dependendo do quadro do paciente, o patamar de 400 mg\/dL possa ser aceito, desde que seja feito um monitoramento constante. Para pacientes pedi\u00e1tricos, a recomenda\u00e7\u00e3o \u00e9 respeitar o patamar de 200 mg\/dL.<\/p>\n<p><strong>\u00c9 preciso acompanhar tamb\u00e9m a fun\u00e7\u00e3o hep\u00e1tica, principalmente para pacientes que recebem a nutri\u00e7\u00e3o parenteral por prazos superiores a 6 meses<\/strong>. O m\u00e9todo mais utilizado para isso \u00e9 a aferi\u00e7\u00e3o da bilirrubina direta e total<sup>2<\/sup>. A literatura aponta que quadros de doen\u00e7a hep\u00e1tica associada \u00e0 fal\u00eancia intestinal s\u00e3o comuns em pacientes recebendo nutri\u00e7\u00e3o parenteral, a partir de uma s\u00e9rie de mecanismos e fatores que desencadeiam tal complica\u00e7\u00e3o<sup>1<\/sup>.<\/p>\n<p>O emprego de emuls\u00e3o lip\u00eddica injet\u00e1vel \u00e9 parte essencial das formula\u00e7\u00f5es de terapias de nutri\u00e7\u00e3o parenteral, garantindo o aporte necess\u00e1rio de \u00e1cidos graxos, prevenindo a defici\u00eancia desse nutriente e contribuindo como fonte importante de energia. Portanto, <strong>\u00e9 fundamental refor\u00e7ar as condutas para que o uso dessa solu\u00e7\u00e3o se d\u00ea de forma segura e eficiente. <\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>Aproveite e veja mais o que voc\u00ea precisa saber sobre <a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsoes-lipidicas-parenterais\/\">emuls\u00f5es lip\u00eddicas parenterais. <\/a><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Refer\u00eancias<\/strong>:<\/p>\n<p>&nbsp;<\/p>\n<p>1. Mirtallo, J. M., Ayers, P., Boullata, J., Gura, K. M., Plogsted, S., Anderson, C. R., &#8230; &amp; Mason, A. E. (2020). ASPEN lipid injectable emulsion safety recommendations, part 1: background and adult considerations. <em>Nutrition in Clinical Practice<\/em>, <em>35<\/em>(5), 769-782. Dispon\u00edvel em: <a href=\"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/epdf\/10.1002\/ncp.10496\">https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/epdf\/10.1002\/ncp.10496<\/a> Acesso dez. 2022.<\/p>\n<p>2. Cober, M. P., Gura, K. M., Mirtallo, J. M., Ayers, P., Boullata, J., Anderson, C. R., &#8230; &amp; ASPEN Parenteral Nutrition Safety Committee. (2021). ASPEN lipid injectable emulsion safety recommendations part 2: Neonate and pediatric considerations. <em>Nutrition in Clinical Practice<\/em>, <em>36<\/em>(6), 1106-1125. Dispon\u00edvel em: <a href=\"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/epdf\/10.1002\/ncp.10778\">https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/epdf\/10.1002\/ncp.10778<\/a> Acesso dez. 2022.<\/p>\n<p>3. Christian, V.J., Tallar M., Walia, C.L.S., Sieracki, R., Goday ,P.S. Systematic review of hypersensitivity to parenteral nutrition. JPEN J ParenterEnteral Nutr. 2018;42(8):1222-1229. Dispon\u00edvel em: <a href=\"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1002\/jpen.1169\">https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1002\/jpen.1169<\/a> Acesso nov. 2022.<\/p>\n<p>4. Boullata, J.I., Berlana, D., Pietka, M., Klek, S., Martindale, R. Use of intravenous lipid emulsions with parenteral nutrition: practical handling aspects. Journal of Parenteral and Enteral Nutrition, 44: S74-S81. Dispon\u00edvel em: <a href=\"https:\/\/doi.org\/10.1002\/jpen.1737\">https:\/\/doi.org\/10.1002\/jpen.1737<\/a> Acesso jan. 2023.<\/p>\n<p>5. Gon\u00e7alves, R.C. et al. Manual Braspen de compet\u00eancias relacionadas \u00e0 dispensa\u00e7\u00e3o e administra\u00e7\u00e3o de nutri\u00e7\u00e3o parenteral. Braspen, 2019; 34 (3): 217-232. Dispon\u00edvel em: <a href=\"http:\/\/arquivos.braspen.org\/journal\/jul-ago-set-2019\/artigos\/pdf-completo.pdf\">http:\/\/arquivos.braspen.org\/journal\/jul-ago-set-2019\/artigos\/pdf-completo.pdf<\/a> Acesso jan. 2023.<\/p>\n<p>6. Mirtallo,J.M., Dasta J.F., Kleinschmidt, K.C., Varon J. State of the art review: intravenous fat emulsion: current applications, safety profile and clinical implications. Ann Pharmacother. 2010;44(4):688-700. Dispon\u00edvel em: <a href=\"https:\/\/journals.sagepub.com\/doi\/10.1345\/aph.1M626\">https:\/\/journals.sagepub.com\/doi\/10.1345\/aph.1M626<\/a> Acesso nov. 2022.<\/p>\n<p>7. Worthington, P., Balint, J., Bechtold, M. et al. When is parenteral nutri-tion appropriate?JPEN J Parenter Enteral Nutrition. 2017;41(3):324-377. Dispon\u00edvel em: <a href=\"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/full\/10.1177\/0148607117695251\">https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/full\/10.1177\/0148607117695251<\/a> Acesso nov. 2022.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Uma emuls\u00e3o lip\u00eddica injet\u00e1vel \u00e9 uma formula\u00e7\u00e3o farmac\u00eautica complexa, que funciona como fonte importante de energia e \u00e1cidos graxos essenciais em regimes de nutri\u00e7\u00e3o parenteral1. Embora amplamente empregado h\u00e1 algumas d\u00e9cadas, \u00e9 importante que o uso das emuls\u00f5es lip\u00eddicas injet\u00e1veis seja feito seguindo algumas recomenda\u00e7\u00f5es a fim de evitar riscos e, dessa forma, possa realmente [&hellip;]<\/p>\n","protected":false},"author":5902,"featured_media":1889,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[49],"tags":[98,183,157,212,67],"class_list":["post-1887","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artigo-5","tag-acidos-graxos","tag-aspen","tag-emulsao-lipidica","tag-hipertrigliceridemia","tag-nutricao-parenteral"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Veja como administrar uma emuls\u00e3o lip\u00eddica injet\u00e1vel minimizando riscos<\/title>\n<meta name=\"description\" content=\"Fonte importante de energia e de \u00e1cidos graxos, a emuls\u00e3o lip\u00eddica injet\u00e1vel \u00e9 amplamente empregada h\u00e1 algumas d\u00e9cadas\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsao-lipidica-injetavel\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Veja como administrar uma emuls\u00e3o lip\u00eddica injet\u00e1vel minimizando riscos\" \/>\n<meta property=\"og:description\" content=\"Fonte importante de energia e de \u00e1cidos graxos, a emuls\u00e3o lip\u00eddica injet\u00e1vel \u00e9 amplamente empregada h\u00e1 algumas d\u00e9cadas\" \/>\n<meta property=\"og:url\" content=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsao-lipidica-injetavel\/\" \/>\n<meta property=\"og:site_name\" content=\"Unidos pela Nutri\u00e7\u00e3o Cl\u00ednica | Brasil\" \/>\n<meta property=\"article:published_time\" content=\"2023-03-29T16:42:58+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2023\/03\/468-5500-5309x3543-1-scaled.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2560\" \/>\n\t<meta property=\"og:image:height\" content=\"1708\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Social Media\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Social Media\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsao-lipidica-injetavel\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsao-lipidica-injetavel\/\"},\"author\":{\"name\":\"Social Media\",\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#\/schema\/person\/17b9f84d3d796836a73304aa1556707e\"},\"headline\":\"Emuls\u00e3o lip\u00eddica injet\u00e1vel: quais as principais recomenda\u00e7\u00f5es de seguran\u00e7a?\",\"datePublished\":\"2023-03-29T16:42:58+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsao-lipidica-injetavel\/\"},\"wordCount\":1373,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#organization\"},\"image\":{\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsao-lipidica-injetavel\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2023\/03\/468-5500-5309x3543-1-scaled.jpg\",\"keywords\":[\"\u00e1cidos graxos\",\"ASPEN\",\"emuls\u00e3o lip\u00eddica.\",\"hipertrigliceridemia\",\"nutri\u00e7\u00e3o parenteral\"],\"articleSection\":[\"Artigos\"],\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsao-lipidica-injetavel\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsao-lipidica-injetavel\/\",\"url\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsao-lipidica-injetavel\/\",\"name\":\"Veja como administrar uma emuls\u00e3o lip\u00eddica injet\u00e1vel minimizando riscos\",\"isPartOf\":{\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsao-lipidica-injetavel\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsao-lipidica-injetavel\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2023\/03\/468-5500-5309x3543-1-scaled.jpg\",\"datePublished\":\"2023-03-29T16:42:58+00:00\",\"description\":\"Fonte importante de energia e de \u00e1cidos graxos, a emuls\u00e3o lip\u00eddica injet\u00e1vel \u00e9 amplamente empregada h\u00e1 algumas d\u00e9cadas\",\"breadcrumb\":{\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsao-lipidica-injetavel\/#breadcrumb\"},\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsao-lipidica-injetavel\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsao-lipidica-injetavel\/#primaryimage\",\"url\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2023\/03\/468-5500-5309x3543-1-scaled.jpg\",\"contentUrl\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2023\/03\/468-5500-5309x3543-1-scaled.jpg\",\"width\":2560,\"height\":1708},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsao-lipidica-injetavel\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Emuls\u00e3o lip\u00eddica injet\u00e1vel: quais as principais recomenda\u00e7\u00f5es de seguran\u00e7a?\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#website\",\"url\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/\",\"name\":\"Unidos pela Nutri\u00e7\u00e3o Cl\u00ednica | Brasil\",\"description\":\"\u00c9 uma iniciativa criada pela Fresenius Kabi para ajudar aos profissionais de sa\u00fade.\",\"publisher\":{\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"pt-BR\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#organization\",\"name\":\"Fresenius Kabi AG\",\"url\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2018\/06\/Downloads_en_0001_Logo_edit_portugues.jpg\",\"contentUrl\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2018\/06\/Downloads_en_0001_Logo_edit_portugues.jpg\",\"width\":600,\"height\":400,\"caption\":\"Fresenius Kabi AG\"},\"image\":{\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#\/schema\/logo\/image\/\"}},{\"@type\":\"Person\",\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#\/schema\/person\/17b9f84d3d796836a73304aa1556707e\",\"name\":\"Social Media\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/b8883a7cf32d41bf519c4397727166e2?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/b8883a7cf32d41bf519c4397727166e2?s=96&d=mm&r=g\",\"caption\":\"Social Media\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Veja como administrar uma emuls\u00e3o lip\u00eddica injet\u00e1vel minimizando riscos","description":"Fonte importante de energia e de \u00e1cidos graxos, a emuls\u00e3o lip\u00eddica injet\u00e1vel \u00e9 amplamente empregada h\u00e1 algumas d\u00e9cadas","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsao-lipidica-injetavel\/","og_locale":"pt_BR","og_type":"article","og_title":"Veja como administrar uma emuls\u00e3o lip\u00eddica injet\u00e1vel minimizando riscos","og_description":"Fonte importante de energia e de \u00e1cidos graxos, a emuls\u00e3o lip\u00eddica injet\u00e1vel \u00e9 amplamente empregada h\u00e1 algumas d\u00e9cadas","og_url":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsao-lipidica-injetavel\/","og_site_name":"Unidos pela Nutri\u00e7\u00e3o Cl\u00ednica | Brasil","article_published_time":"2023-03-29T16:42:58+00:00","og_image":[{"width":2560,"height":1708,"url":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2023\/03\/468-5500-5309x3543-1-scaled.jpg","type":"image\/jpeg"}],"author":"Social Media","twitter_card":"summary_large_image","twitter_misc":{"Escrito por":"Social Media","Est. tempo de leitura":"7 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsao-lipidica-injetavel\/#article","isPartOf":{"@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsao-lipidica-injetavel\/"},"author":{"name":"Social Media","@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#\/schema\/person\/17b9f84d3d796836a73304aa1556707e"},"headline":"Emuls\u00e3o lip\u00eddica injet\u00e1vel: quais as principais recomenda\u00e7\u00f5es de seguran\u00e7a?","datePublished":"2023-03-29T16:42:58+00:00","mainEntityOfPage":{"@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsao-lipidica-injetavel\/"},"wordCount":1373,"commentCount":0,"publisher":{"@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#organization"},"image":{"@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsao-lipidica-injetavel\/#primaryimage"},"thumbnailUrl":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2023\/03\/468-5500-5309x3543-1-scaled.jpg","keywords":["\u00e1cidos graxos","ASPEN","emuls\u00e3o lip\u00eddica.","hipertrigliceridemia","nutri\u00e7\u00e3o parenteral"],"articleSection":["Artigos"],"inLanguage":"pt-BR","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsao-lipidica-injetavel\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsao-lipidica-injetavel\/","url":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsao-lipidica-injetavel\/","name":"Veja como administrar uma emuls\u00e3o lip\u00eddica injet\u00e1vel minimizando riscos","isPartOf":{"@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#website"},"primaryImageOfPage":{"@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsao-lipidica-injetavel\/#primaryimage"},"image":{"@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsao-lipidica-injetavel\/#primaryimage"},"thumbnailUrl":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2023\/03\/468-5500-5309x3543-1-scaled.jpg","datePublished":"2023-03-29T16:42:58+00:00","description":"Fonte importante de energia e de \u00e1cidos graxos, a emuls\u00e3o lip\u00eddica injet\u00e1vel \u00e9 amplamente empregada h\u00e1 algumas d\u00e9cadas","breadcrumb":{"@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsao-lipidica-injetavel\/#breadcrumb"},"inLanguage":"pt-BR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsao-lipidica-injetavel\/"]}]},{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsao-lipidica-injetavel\/#primaryimage","url":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2023\/03\/468-5500-5309x3543-1-scaled.jpg","contentUrl":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2023\/03\/468-5500-5309x3543-1-scaled.jpg","width":2560,"height":1708},{"@type":"BreadcrumbList","@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsao-lipidica-injetavel\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/"},{"@type":"ListItem","position":2,"name":"Emuls\u00e3o lip\u00eddica injet\u00e1vel: quais as principais recomenda\u00e7\u00f5es de seguran\u00e7a?"}]},{"@type":"WebSite","@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#website","url":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/","name":"Unidos pela Nutri\u00e7\u00e3o Cl\u00ednica | Brasil","description":"\u00c9 uma iniciativa criada pela Fresenius Kabi para ajudar aos profissionais de sa\u00fade.","publisher":{"@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"pt-BR"},{"@type":"Organization","@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#organization","name":"Fresenius Kabi AG","url":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/","logo":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#\/schema\/logo\/image\/","url":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2018\/06\/Downloads_en_0001_Logo_edit_portugues.jpg","contentUrl":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2018\/06\/Downloads_en_0001_Logo_edit_portugues.jpg","width":600,"height":400,"caption":"Fresenius Kabi AG"},"image":{"@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#\/schema\/person\/17b9f84d3d796836a73304aa1556707e","name":"Social Media","image":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/b8883a7cf32d41bf519c4397727166e2?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/b8883a7cf32d41bf519c4397727166e2?s=96&d=mm&r=g","caption":"Social Media"}}]}},"_links":{"self":[{"href":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-json\/wp\/v2\/posts\/1887","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-json\/wp\/v2\/users\/5902"}],"replies":[{"embeddable":true,"href":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-json\/wp\/v2\/comments?post=1887"}],"version-history":[{"count":0,"href":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-json\/wp\/v2\/posts\/1887\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-json\/wp\/v2\/media\/1889"}],"wp:attachment":[{"href":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-json\/wp\/v2\/media?parent=1887"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-json\/wp\/v2\/categories?post=1887"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-json\/wp\/v2\/tags?post=1887"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}