{"id":11821,"date":"2020-08-03T11:50:00","date_gmt":"2020-08-03T14:50:00","guid":{"rendered":"https:\/\/nutritotal.com.br\/pro?p=11821"},"modified":"2022-07-05T16:55:34","modified_gmt":"2022-07-05T19:55:34","slug":"o-que-a-nutria-a-o-parenteral-perifa-rica","status":"publish","type":"post","link":"https:\/\/nutritotal.com.br\/pro\/o-que-a-nutria-a-o-parenteral-perifa-rica\/","title":{"rendered":"O que \u00e9 nutri\u00e7\u00e3o parenteral perif\u00e9rica?"},"content":{"rendered":"

\"\"<\/p>\n

A nutri\u00e7\u00e3o parenteral (NP) foi desenvolvida na d\u00e9cada de 1970 e permite a alimenta\u00e7\u00e3o daqueles pacientes impossibilitados de se alimentar via oral, por estarem com o trato gastrointestinal (TGI) n\u00e3o funcionante total ou parcialmente, e garante a manuten\u00e7\u00e3o ou recupera\u00e7\u00e3o do seu estado nutricional.<\/p>\n

Tradicionalmente, a NP fornece nutrientes (glicose, amino\u00e1cidos, emuls\u00e3o lip\u00eddica, oligoelementos) atrav\u00e9s de cateter instalado em acesso venoso central (veia subcl\u00e1via ou jugular), por\u00e9m devido aos v\u00e1rios eventos adversos, uma op\u00e7\u00e3o \u00e9 utilizar vias de acesso perif\u00e9ricas.<\/p>\n

A nutri\u00e7\u00e3o parenteral perif\u00e9rica (NPP) permite a administra\u00e7\u00e3o de solu\u00e7\u00f5es completas em nutrientes atrav\u00e9s de cateter mais fino instalado em veias perif\u00e9ricas. \u00c9 indicada em casos cuja expectativa para uso da NP \u00e9 menor que 15 dias e apresenta vantagens sobre o acesso central: aus\u00eancia de complica\u00e7\u00f5es relacionadas a pun\u00e7\u00e3o e presen\u00e7a do\u00a0 cateter central; pun\u00e7\u00e3o venosa mais f\u00e1cil, r\u00e1pida e de menor custo; a f\u00f3rmula, normalmente, possui mais lip\u00eddios, o que reduz a probabilidade de hiperglicemia.<\/p>\n

Casos de indica\u00e7\u00e3o e contraindica\u00e7\u00e3o da NPP podem ser observados no quadro abaixo:<\/p>\n

Quadro 1. Indica\u00e7\u00f5es e contraindica\u00e7\u00f5es da NPP<\/p>\n\n\n\n\n
Indica\u00e7\u00f5es<\/b><\/td>\nContraindica\u00e7\u00f5es<\/b><\/td>\n<\/tr>\n
– Pacientes em preparo pr\u00e9-operat\u00f3rio com TGI sem acesso por motivo de obstru\u00e7\u00e3o<\/p>\n

– Pacientes em p\u00f3s-operat\u00f3rio com dismotilidade prolongada<\/p>\n

– Pacientes que se beneficiariam da NPP com proposta de utiliza\u00e7\u00e3o menor de 15 dias<\/td>\n

– Veias perif\u00e9ricas inadequadas<\/p>\n

– Pacientes com restri\u00e7\u00f5es de l\u00edquidos<\/p>\n

– Hist\u00f3ria de alergia a ovos ou emo\u00e7\u00f5es lip\u00eddicas intravenosas<\/p>\n

– Indica\u00e7\u00e3o de NP por per\u00edodo superior a 15 dias<\/p>\n

– Possibilidade do uso de alimenta\u00e7\u00e3o enteral de forma efetiva<\/p>\n

– Disfun\u00e7\u00e3o hep\u00e1tica importante<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Embora menos graves que aquelas observadas em situa\u00e7\u00f5es de nutri\u00e7\u00e3o parenteral central, as complica\u00e7\u00f5es no uso de NPP incluem: tromboflebite, rea\u00e7\u00f5es al\u00e9rgicas, infiltra\u00e7\u00e3o de solu\u00e7\u00e3o subcut\u00e2nea, dist\u00farbios metab\u00f3licos e hidroeletrol\u00edtico.<\/p>\n","protected":false},"excerpt":{"rendered":"

A nutri\u00e7\u00e3o parenteral (NP) foi desenvolvida na d\u00e9cada de 1970 e permite a alimenta\u00e7\u00e3o daqueles pacientes impossibilitados de se alimentar via oral, por estarem com o trato gastrointestinal (TGI) n\u00e3o funcionante total ou parcialmente, e garante a manuten\u00e7\u00e3o ou recupera\u00e7\u00e3o do seu estado nutricional. Tradicionalmente, a NP fornece nutrientes (glicose, amino\u00e1cidos, emuls\u00e3o lip\u00eddica, oligoelementos) atrav\u00e9s […]<\/p>\n","protected":false},"author":45,"featured_media":44112,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[259,188,90,98,851,1075],"divisao":[2185],"acf":[],"yoast_head":"\nO que \u00e9 nutri\u00e7\u00e3o parenteral perif\u00e9rica? - 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\/o-que-a-nutria-a-o-parenteral-perifa-rica\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"O que \u00e9 nutri\u00e7\u00e3o parenteral perif\u00e9rica? - Nutritotal PRO\" \/>\n<meta property=\"og:description\" content=\"A nutri\u00e7\u00e3o parenteral (NP) foi desenvolvida na d\u00e9cada de 1970 e permite a alimenta\u00e7\u00e3o daqueles pacientes impossibilitados de se alimentar via oral, por estarem com o trato gastrointestinal (TGI) n\u00e3o funcionante total ou parcialmente, e garante a manuten\u00e7\u00e3o ou recupera\u00e7\u00e3o do seu estado nutricional. 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