{"id":11799,"date":"2024-01-15T10:00:00","date_gmt":"2024-01-15T13:00:00","guid":{"rendered":"https:\/\/nutritotal.com.br\/pro?p=11799"},"modified":"2024-01-30T11:50:57","modified_gmt":"2024-01-30T14:50:57","slug":"o-nutricionista-pode-prescrever-nutria-a-o-parenteral","status":"publish","type":"post","link":"https:\/\/nutritotal.com.br\/pro\/o-nutricionista-pode-prescrever-nutria-a-o-parenteral\/","title":{"rendered":"O nutricionista pode prescrever nutri\u00e7\u00e3o parenteral?"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_75 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Conte\u00fado<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/nutritotal.com.br\/pro\/o-nutricionista-pode-prescrever-nutria-a-o-parenteral\/#Nutricionista_pode_prescrever_nutricao_parenteral\" >Nutricionista pode prescrever nutri\u00e7\u00e3o parenteral?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/nutritotal.com.br\/pro\/o-nutricionista-pode-prescrever-nutria-a-o-parenteral\/#Qual_o_papel_do_nutricionista_na_nutricao_parenteral\" >Qual o papel do nutricionista na nutri\u00e7\u00e3o parenteral?<\/a><\/li><\/ul><\/nav><\/div>\n<p><span style=\"font-weight: 400;\">A nutri\u00e7\u00e3o parenteral (NP) \u00e9 o recurso utilizado quando as vias oral e enteral s\u00e3o invi\u00e1veis ou n\u00e3o suprem as necessidades nutricionais de um paciente. Entretanto, para ser posta em pr\u00e1tica, diversas etapas precedem a administra\u00e7\u00e3o da NP. Dentre elas, est\u00e1 a prescri\u00e7\u00e3o.\u00a0<\/span><\/p>\n<div id=\"attachment_63845\" style=\"width: 1160px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-63845\" class=\"wp-image-63845 size-full\" src=\"https:\/\/nutritotal.com.br\/pro\/wp-content\/uploads\/2024\/01\/prescrever-nutricao-parenteral.png\" alt=\"prescrever nutri\u00e7\u00e3o parenteral\" width=\"1150\" height=\"460\" srcset=\"https:\/\/nutritotal.com.br\/pro\/wp-content\/uploads\/2024\/01\/prescrever-nutricao-parenteral.png 1150w, https:\/\/nutritotal.com.br\/pro\/wp-content\/uploads\/2024\/01\/prescrever-nutricao-parenteral-300x120.png 300w, https:\/\/nutritotal.com.br\/pro\/wp-content\/uploads\/2024\/01\/prescrever-nutricao-parenteral-768x307.png 768w, https:\/\/nutritotal.com.br\/pro\/wp-content\/uploads\/2024\/01\/prescrever-nutricao-parenteral-1024x410.png 1024w\" sizes=\"(max-width: 1150px) 100vw, 1150px\" \/><p id=\"caption-attachment-63845\" class=\"wp-caption-text\">Fonte: Canva.com<\/p><\/div>\n<p><span style=\"font-weight: 400;\">Afinal, quem pode prescrever nutri\u00e7\u00e3o parenteral? Os nutricionistas possuem a prescri\u00e7\u00e3o de NP entre suas atividades profissionais? Confira as respostas a seguir.\u00a0<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Nutricionista_pode_prescrever_nutricao_parenteral\"><\/span><b>Nutricionista pode prescrever nutri\u00e7\u00e3o parenteral?<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">De acordo com as legisla\u00e7\u00f5es vigentes, <\/span><b>o nutricionista n\u00e3o pode prescrever nutri\u00e7\u00e3o parenteral<\/b><span style=\"font-weight: 400;\">. Na realidade, esta fun\u00e7\u00e3o est\u00e1 limitada aos m\u00e9dicos.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Nesse sentido, <\/span><b>cabe ao m\u00e9dico a fun\u00e7\u00e3o de indicar, prescrever e acompanhar os pacientes submetidos \u00e0 terapia de nutri\u00e7\u00e3o parenteral (TNP)<\/b><span style=\"font-weight: 400;\">. Por\u00e9m, os m\u00e9dicos n\u00e3o participantes da equipe multiprofissional de terapia nutricional (EMTN) que queiram indicar, prescrever e acompanhar pacientes submetidos \u00e0 NP devem faz\u00ea-lo em consenso com a <\/span><a href=\"https:\/\/nutritotal.com.br\/pro\/tv-nutritotal\/como-gerenciar-a-equipe-de-nutricao-no-dia-a-dia\/\"><span style=\"font-weight: 400;\">equipe<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Segundo a Resolu\u00e7\u00e3o 2.149\/2016, do Conselho Federal de Medicina, a nutri\u00e7\u00e3o enteral e parenteral \u00e9 uma \u00e1rea de atua\u00e7\u00e3o das especialidades <\/span><a href=\"https:\/\/nutritotal.com.br\/pro\/material\/atualidade-em-nutrologia-pediatrica\/\"><span style=\"font-weight: 400;\">nutrologia<\/span><\/a><span style=\"font-weight: 400;\">, pediatria, medicina intensiva, cirurgia do aparelho digestivo, gastroenterologia ou cirurgia geral.\u00a0<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Qual_o_papel_do_nutricionista_na_nutricao_parenteral\"><\/span><b>Qual o papel do nutricionista na nutri\u00e7\u00e3o parenteral?<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">O nutricionista<\/span><b> comp\u00f5e obrigatoriamente a equipe multidisciplinar de terapia nutricional (EMTN).<\/b><span style=\"font-weight: 400;\"> Em rela\u00e7\u00e3o \u00e0 nutri\u00e7\u00e3o parenteral, possui como atribui\u00e7\u00f5es:<\/span><\/p>\n<ol>\n<li><b><\/b><span style=\"font-weight: 400;\"> Avaliar os indicadores nutricionais subjetivos e objetivos, com base em protocolo preestabelecido, de forma a identificar o risco ou a defici\u00eancia nutricional e a evolu\u00e7\u00e3o de cada paciente, sugerindo a necessidade de suporte nutricional parenteral quando necess\u00e1rio.\u00a0<\/span><\/li>\n<li><b><\/b><span style=\"font-weight: 400;\"> Avaliar qualitativa e quantitativamente as necessidades de nutrientes baseadas na avalia\u00e7\u00e3o do estado nutricional do paciente, sugerindo os requerimentos de nutrientes que devem ser prescritos.\u00a0<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">Al\u00e9m destas atribui\u00e7\u00f5es, tamb\u00e9m s\u00e3o atividades dos nutricionistas:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Acompanhar a evolu\u00e7\u00e3o nutricional dos pacientes em TN, independente da via de administra\u00e7\u00e3o;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Garantir o registro, claro e preciso, de informa\u00e7\u00f5es relacionadas \u00e0 evolu\u00e7\u00e3o nutricional do paciente;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Participar e promover atividades de treinamento operacional e de educa\u00e7\u00e3o continuada, garantindo a atualiza\u00e7\u00e3o dos seus colaboradores.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Desta forma, o nutricionista pode <\/span><b>sugerir \u00e0 equipe a necessidade da nutri\u00e7\u00e3o parenteral, bem como os requerimentos de nutrientes necess\u00e1rios<\/b><span style=\"font-weight: 400;\"> ao paciente para subsidiar a prescri\u00e7\u00e3o. No entanto, o nutricionista<\/span><b> n\u00e3o tem autonomia legal para alterar prescri\u00e7\u00e3o m\u00e9dica <\/b><span style=\"font-weight: 400;\">da nutri\u00e7\u00e3o parenteral.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Embora a prescri\u00e7\u00e3o da nutri\u00e7\u00e3o parenteral n\u00e3o seja uma compet\u00eancia do nutricionista, seu papel na avalia\u00e7\u00e3o, planejamento e monitoramento do suporte nutricional \u00e9 de extrema import\u00e2ncia para garantir uma abordagem integral e de qualidade ao paciente que necessita desse tipo de terapia.<\/span><\/p>\n<p><em><span style=\"font-weight: 400;\">Se voc\u00ea gostou deste artigo, leia tamb\u00e9m:<\/span><\/em><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/nutritotal.com.br\/pro\/quando-devo-iniciar-a-administracao-de-nutricao-parenteral-em-meu-paciente\/\"><span style=\"font-weight: 400;\">Como prescrever nutri\u00e7\u00e3o parenteral?<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/nutritotal.com.br\/pro\/material\/prescricao-de-nutricao-parenteral\/\"><span style=\"font-weight: 400;\">Prescri\u00e7\u00e3o de Nutri\u00e7\u00e3o Parenteral\u00a0<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/nutritotal.com.br\/pro\/material\/prescricao-de-suplementos-alimentares-e-fitoterapicos-guia-do-cfn-e-cff\/\"><span style=\"font-weight: 400;\">Prescri\u00e7\u00e3o de Suplementos Alimentares e Fitoter\u00e1picos: Guia do CFN e CFF\u00a0<\/span><\/a><\/li>\n<\/ul>\n<p><b>Refer\u00eancias<\/b><span style=\"font-weight: 400;\">:<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Brito, C. A. B., de Souza Pantoja, M., de Andrade, M. C., Pantoja, M. C., &amp; Farias, A. F. (2023). <\/span><a href=\"https:\/\/braspenjournal.org\/article\/doi\/10.37111\/braspenj.2023.38.2.12\"><span style=\"font-weight: 400;\">Software para prescri\u00e7\u00e3o individualizada e segura de nutri\u00e7\u00e3o parenteral<\/span><\/a><span style=\"font-weight: 400;\">. BRASPEN Journal, 38(2), 0-0.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Conselho Regional de Nutricionista &#8211; 8\u00aa Regi\u00e3o. <\/span><a href=\"https:\/\/crn8.org.br\/wp-content\/uploads\/2021\/01\/faq.pdf\" class=\"broken_link\"><span style=\"font-weight: 400;\">Perguntas Frequentes<\/span><\/a><span style=\"font-weight: 400;\">. 2021.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Portaria MS\/SNVS n\u00ba 272, de 8 abril de 1998. Aprova o Regulamento T\u00e9cnico que fixa os requisitos m\u00ednimos exigidos para a Terapia de Nutri\u00e7\u00e3o Parenteral.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">RESOLU\u00c7\u00c3O CFN n\u00ba 222\/1999 14\/01\/2014. DISP\u00d5E SOBRE A PARTICIPA\u00c7\u00c3O DO NUTRICIONISTA EM EQUIPES MULTIPROFISSIONAIS DE TERAPIAS NUTRICIONAIS.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">RESOLU\u00c7\u00c3O DO CONSELHO FEDERAL DE MEDICINA &#8211; CFM N\u00ba 2.149 DE 22.07.2016. Homologa a Portaria CME n\u00ba 02\/2016, que aprova a rela\u00e7\u00e3o de especialidades e \u00e1reas de atua\u00e7\u00e3o m\u00e9dicas aprovadas pela Comiss\u00e3o Mista de Especialidades. <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A nutri\u00e7\u00e3o parenteral (NP) \u00e9 o recurso utilizado quando as vias oral e enteral s\u00e3o invi\u00e1veis ou n\u00e3o suprem as necessidades nutricionais de um paciente. Entretanto, para ser posta em pr\u00e1tica, diversas etapas precedem a administra\u00e7\u00e3o da NP. Dentre elas, est\u00e1 a prescri\u00e7\u00e3o.\u00a0 Afinal, quem pode prescrever nutri\u00e7\u00e3o parenteral? Os nutricionistas possuem a prescri\u00e7\u00e3o de [&hellip;]<\/p>\n","protected":false},"author":114981,"featured_media":63847,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2959],"tags":[98,3482,185],"divisao":[2185,3327],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>O nutricionista pode prescrever nutri\u00e7\u00e3o parenteral?<\/title>\n<meta name=\"description\" content=\"Quais profissionais podem prescrever nutri\u00e7\u00e3o parenteral? O nutricionista \u00e9 um destes profissionais? 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