CASO 2: Câncer de esôfago by https://padlet.com/manudpera/j6u2bhms64ijfz3s Acompanhar o progresso da tarefa en-us 2025-03-31 19:24:21 UTC 2025-04-02 18:24:42 UTC hello@padlet.com https://padlet.net/icons/png/1f4c8.png Diagnóstico Baixo Peso (NC. 3.1)  manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389790359 Baixo peso corporal relacionado a ingestão subótima e necessidades energéticas aumentadas evidenciado por por IMC de 19,44kg/m2


]]> 2025-03-31 19:37:08 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389790359 Diagnóstico Perda de Peso Involuntária (NC. 3.2) manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389790725 Perda de peso involuntário relacionado à etiologia do câncer no esofago e indicado pela perda de peso de 10,44%


]]> 2025-03-31 19:37:24 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389790725 IMC = 19,41 Kg/m2 manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389792465 Baixo peso para idosos (OPAS 2002)



]]> 2025-03-31 19:39:30 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389792465 67% de adequação de dobra cutânea triciptal manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389793344 Desnutrição grave


]]> 2025-03-31 19:40:35 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389793344 Peso usual (há 3 meses)= 67Kg manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389793506 PP=10,44% - perda de peso significativa

]]> 2025-03-31 19:40:47 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389793506 Referência consultada: OPAS 2002, Blackburn 1979 manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389794241 2025-03-31 19:41:41 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389794241 manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389799202 Controlar os efeitos adversos do tratamento

]]> 2025-03-31 19:47:22 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389799202 manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389799436 Manter o paciente bem alimentado, visando a não deterioração do estado nutricional para combater a doença

]]> 2025-03-31 19:47:37 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389799436 manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389799615 Reduzir os  sintomas de dificuldade de deglutição, odinofagia e anorexia, além de suavizar os sintomas que o tratamento para o câncer irão desencadear no paciente.

]]> 2025-03-31 19:47:48 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389799615 manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389801330 Melhora da resposta imunológica

]]> 2025-03-31 19:49:53 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389801330 Gastrostomia manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389802162 2025-03-31 19:51:12 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389802162 VET= 2100 kcal manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389810990 usamos o peso atual (35kcal x 60kg)

]]> 2025-03-31 20:02:25 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389810990 PTN: 2,2g/kg/dia manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389811165 2025-03-31 20:02:39 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389811165 Fórmula Impact 1.5 - Nestle manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389815514 2025-03-31 20:08:19 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389815514 Possui 1,5 kcal por 1 mL, é hiperproteico, hiperlipídico, sem glúten manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389815905 2025-03-31 20:08:48 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389815905 Volume total: 1400ml manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389816001 2025-03-31 20:08:58 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389816001 Fracionado em 5x por dia de 4/4hrs manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389816240 280ml a cada 4h

]]> 2025-03-31 20:09:17 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389816240 manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389820695 2025-03-31 20:15:28 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389820695 manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389824195 A alimentação por via oral tornou-se inviável devido à dor e dificuldade para engolir, além da obstrução do trato gastrointestinal.


]]> 2025-03-31 20:20:00 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389824195 manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389824537 TNE se faz necessária pela incapacidade de atingir 60% das necessidades nutricionais por via oral

]]> 2025-03-31 20:20:21 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389824537 manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389825431 Gastrostomia: optamos por essa via de acesso porque ela permite a administração direta de nutrientes no estômago, preservando a funcionalidade do trato digestivo distal e sendo uma opção mais fisiológica em comparação à nutrição parenteral

]]> 2025-03-31 20:21:42 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389825431 manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389826097 Gastrostomia: indicada para pacientes com obstruções no esôfago, garantindo aporte nutricional adequado e reduzindo o risco de desnutrição.

]]> 2025-03-31 20:22:39 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389826097 manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389826481 Ofertar para conforto alimentos via oral líquidos gelados como sopas, batidas de frutas e  achocolatado.


]]> 2025-03-31 20:23:13 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389826481 manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389826827 Garantir todo o aporte nutricional via terapia enteral > não deterioração do quadro nutricional do paciente

]]> 2025-03-31 20:23:50 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389826827 Dieta via gastrostomia manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389827207 2025-03-31 20:24:25 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389827207 1,5 kcal/ml - administrado 1400ml manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389827363 2025-03-31 20:24:39 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389827363 Náusea e vômitos manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389828065 2025-03-31 20:25:33 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389828065 Mucosite oral manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389828171 2025-03-31 20:25:42 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389828171 Diarréia manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389828271 2025-03-31 20:25:51 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389828271 Constipação manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389828403 2025-03-31 20:25:59 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389828403 Inapetência manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389828522 2025-03-31 20:26:08 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389828522 Disfagia manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389828625 2025-03-31 20:26:17 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389828625 Odinofagia manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389828906 2025-03-31 20:26:38 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389828906 Disgeusia manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389830479 2025-03-31 20:27:58 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389830479 Xerostomia manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389830656 2025-03-31 20:28:11 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3389830656 Hidratação https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3391680820 200 ml infundidas 5x ao dia.

]]> 2025-04-01 23:04:46 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3391680820 HORÁRIOS: https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3392949164 08h - 12h - 16h - 20h - 24h

]]> 2025-04-02 15:19:29 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3392949164 https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3392962209 Fórmula enteral hipercalórica, hiperproteica, normoglicídica e hiperlipídica, sem glúten, sem lactose, sem fibras e sem sacarose com volume total de 1400 ml/dia e fracionamento de 5x ao dia de 4 em 4 horas, totalizando 280 ml a cada 4 horas.

]]> 2025-04-02 15:28:31 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3392962209 https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3392985039 Prescrevemos dieta enteral via gastrostomia e via oral de conforto. Sistema fechado, aporte calórico de 2.100 kcal de fórmula enteral polimérica, hipercalórica, hiperproteica, normoglicídica e hiperlipídica, isenta de sacarose, lactose, fibras e glúten (Impact 1.5). Com volume total de 1400 ml/dia e fracionamento de 5x ao dia de 4 em 4 horas, totalizando 280 ml a cada 4 horas.


]]> 2025-04-02 15:45:38 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3392985039 manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3393062745 Laura Pesce

Manuela Pera

Stella Schiavon

Eduarda Roque

Catarina Aranovich

Elisa Ferrari

]]> 2025-04-02 16:48:33 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3393062745 Referência consultada: Consenso Brasileiro de Nutrição Oncologica da SBNO manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3393075267 2025-04-02 16:59:48 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3393075267 Referência consultada: BRASPEN 2019 manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3393093461 2025-04-02 17:15:35 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3393093461 Via de conforto e de estímulo: oral manudpera https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3393141658 2025-04-02 17:52:13 UTC https://padlet.com/manudpera/j6u2bhms64ijfz3s/wish/3393141658