{"id":10495,"date":"2017-12-20T16:03:00","date_gmt":"2017-12-20T18:03:00","guid":{"rendered":"https:\/\/nutritotal.com.br\/pro?p=10495"},"modified":"2023-05-31T16:53:46","modified_gmt":"2023-05-31T19:53:46","slug":"como-deve-ser-a-monitoramento-laboratorial-para-pacientes-em-nutria-a-o-enteral-e-parenteral","status":"publish","type":"post","link":"https:\/\/nutritotal.com.br\/pro\/como-deve-ser-a-monitoramento-laboratorial-para-pacientes-em-nutria-a-o-enteral-e-parenteral\/","title":{"rendered":"Como deve ser a monitoramento laboratorial para pacientes em Nutri\u00e7\u00e3o Enteral e Parenteral?"},"content":{"rendered":"

\"\"Pacientes em uso de Terapia Nutricional devem ter seus exameslaboratoriais constantemente monitorados.<\/p>\n

Para aqueles em uso de Terapia de Nutri\u00e7\u00e3o Enteral, o monitoramento deveincluir glicemia, s\u00f3dio, pot\u00e1ssio, fosfato e magn\u00e9sio diariamente. Fun\u00e7\u00e3o hep\u00e1ticae hemograma completo devem ser monitorados semanalmente e ap\u00f3s a estabiliza\u00e7\u00e3ohemodin\u00e2mica do paciente. Sempre que poss\u00edvel, deve-se monitorar os n\u00edveis deelementos tra\u00e7o e vitaminas.<\/p>\n

O monitoramento dos pacientes em Terapia de Nutri\u00e7\u00e3o Parenteral requerainda mais aten\u00e7\u00e3o, e vai depender da fase cl\u00ednica em que o paciente seencontra, como pode ser observado na tabela abaixo.<\/p>\n

Tabela.<\/b> Programa\u00e7\u00e3o para monitorar os valores laboratoriais durante PN<\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
\n

Exames Laboratoriais<\/b><\/p>\n<\/td>\n

\n

Avalia\u00e7\u00e3o para in\u00edcio da PN<\/b><\/p>\n<\/td>\n

\n

Exames laboratoriais na suspeita de s\u00edndrome de realimenta\u00e7\u00e3o<\/b><\/p>\n<\/td>\n

\n

Exames laboratoriais quando a PN est\u00e1 est\u00e1vel<\/b><\/p>\n<\/td>\n<\/tr>\n

\n

Quando?<\/b><\/p>\n<\/td>\n

\n

Dia 0: antes de come\u00e7ar PN<\/p>\n<\/td>\n

\n

Dia 0 at\u00e9 4-10 dias<\/p>\n<\/td>\n

\n

Uma vez por semana (dia fixo)<\/p>\n<\/td>\n<\/tr>\n

\n

PCR<\/b><\/p>\n<\/td>\n

\n

X<\/p>\n<\/td>\n

\n

\n<\/td>\n

\n

X<\/p>\n<\/td>\n<\/tr>\n

\n

S\u00f3dio<\/b><\/p>\n<\/td>\n

\n

X<\/p>\n<\/td>\n

\n

X<\/p>\n<\/td>\n

\n

X<\/p>\n<\/td>\n<\/tr>\n

\n

Pot\u00e1ssio<\/b><\/p>\n<\/td>\n

\n

X<\/p>\n<\/td>\n

\n

X<\/p>\n<\/td>\n

\n

X<\/p>\n<\/td>\n<\/tr>\n

\n

Cloro<\/b><\/p>\n<\/td>\n

\n

X<\/p>\n<\/td>\n

\n

\n<\/td>\n

\n

\n<\/td>\n<\/tr>\n

\n

C\u00e1lcio <\/b><\/p>\n<\/td>\n

\n

X<\/p>\n<\/td>\n

\n

X<\/p>\n<\/td>\n

\n

X<\/p>\n<\/td>\n<\/tr>\n

\n

Magn\u00e9sio<\/b><\/p>\n<\/td>\n

\n

X<\/p>\n<\/td>\n

\n

X<\/p>\n<\/td>\n

\n

X<\/p>\n<\/td>\n<\/tr>\n

\n

Fosfato<\/b><\/p>\n<\/td>\n

\n

X<\/p>\n<\/td>\n

\n

X<\/p>\n<\/td>\n

\n

X<\/p>\n<\/td>\n<\/tr>\n

\n

Creatina<\/b><\/p>\n<\/td>\n

\n

X<\/p>\n<\/td>\n

\n

X<\/p>\n<\/td>\n

\n

X<\/p>\n<\/td>\n<\/tr>\n

\n

Albumina<\/b><\/p>\n<\/td>\n

\n

X<\/p>\n<\/td>\n

\n

X<\/p>\n<\/td>\n

\n

X<\/p>\n<\/td>\n<\/tr>\n

\n

Glicose<\/b><\/p>\n<\/td>\n

\n

X<\/p>\n<\/td>\n

\n

X<\/p>\n<\/td>\n

\n

X<\/p>\n<\/td>\n<\/tr>\n

\n

Bilirrubina<\/b><\/p>\n<\/td>\n

\n

X<\/p>\n<\/td>\n

\n

\n<\/td>\n

\n

X<\/p>\n<\/td>\n<\/tr>\n

\n

Fosfatase Alcalina<\/b><\/p>\n<\/td>\n

\n

X<\/p>\n<\/td>\n

\n

\n<\/td>\n

\n

X<\/p>\n<\/td>\n<\/tr>\n

\n

ALT<\/b><\/p>\n<\/td>\n

\n

X<\/p>\n<\/td>\n

\n

\n<\/td>\n

\n

X<\/p>\n<\/td>\n<\/tr>\n

\n

Triglic\u00e9rides <\/b><\/p>\n<\/td>\n

\n

X<\/p>\n<\/td>\n

\n

\n<\/td>\n

\n

\n<\/td>\n<\/tr>\n

\n

Tempo de protrombina<\/b><\/p>\n<\/td>\n

\n

X<\/p>\n<\/td>\n

\n

\n<\/td>\n

\n

\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

\u00a0 Fonte:<\/i><\/b> adaptado de ESPEN, 2017.<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Pacientes em uso de Terapia Nutricional devem ter seus exameslaboratoriais constantemente monitorados. Para aqueles em uso de Terapia de Nutri\u00e7\u00e3o Enteral, o monitoramento deveincluir glicemia, s\u00f3dio, pot\u00e1ssio, fosfato e magn\u00e9sio diariamente. Fun\u00e7\u00e3o hep\u00e1ticae hemograma completo devem ser monitorados semanalmente e ap\u00f3s a estabiliza\u00e7\u00e3ohemodin\u00e2mica do paciente. Sempre que poss\u00edvel, deve-se monitorar os n\u00edveis deelementos tra\u00e7o e […]<\/p>\n","protected":false},"author":45,"featured_media":10494,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[576,577],"tags":[194,98],"divisao":[3233,2185,2192,3327],"acf":[],"yoast_head":"\nComo deve ser a monitoramento laboratorial para pacientes em Nutri\u00e7\u00e3o Enteral e Parenteral? - Nutritotal PRO<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/nutritotal.com.br\/pro\/como-deve-ser-a-monitoramento-laboratorial-para-pacientes-em-nutria-a-o-enteral-e-parenteral\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Como deve ser a monitoramento laboratorial para pacientes em Nutri\u00e7\u00e3o Enteral e Parenteral? - Nutritotal PRO\" \/>\n<meta property=\"og:description\" content=\"Pacientes em uso de Terapia Nutricional devem ter seus exameslaboratoriais constantemente monitorados. Para aqueles em uso de Terapia de Nutri\u00e7\u00e3o Enteral, o monitoramento deveincluir glicemia, s\u00f3dio, pot\u00e1ssio, fosfato e magn\u00e9sio diariamente. Fun\u00e7\u00e3o hep\u00e1ticae hemograma completo devem ser monitorados semanalmente e ap\u00f3s a estabiliza\u00e7\u00e3ohemodin\u00e2mica do paciente. 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