{"id":59860,"date":"2022-02-09T18:56:21","date_gmt":"2022-02-09T16:56:21","guid":{"rendered":"https:\/\/blog.cofb.cat\/?p=59860"},"modified":"2023-09-21T09:45:10","modified_gmt":"2023-09-21T09:45:10","slug":"actuacio-farmaceutica-en-nutricio-artificial-noves-formacions-al-cofb-adrecades-a-la-farmacia-hospitalaria","status":"publish","type":"post","link":"https:\/\/www.cofb.org\/ca\/2022\/02\/09\/actuacio-farmaceutica-en-nutricio-artificial-noves-formacions-al-cofb-adrecades-a-la-farmacia-hospitalaria\/","title":{"rendered":"Actuaci\u00f3 farmac\u00e8utica en nutrici\u00f3 artificial. Noves formacions al COFB adre\u00e7ades a la farm\u00e0cia hospital\u00e0ria"},"content":{"rendered":"\n

Els passats 24, 26 i 31 de gener<\/strong> va tenir lloc al Col\u00b7legi de Farmac\u00e8utics de Barcelona (COFB)<\/strong> una nova edici\u00f3<\/strong> de la formaci\u00f3 “Actuaci\u00f3 farmac\u00e8utica en nutrici\u00f3 artificial”<\/strong>. Es tracta d’una formaci\u00f3 <\/strong>coordinada pel Grup de Nutrici\u00f3 de Farmac\u00e8utics d’Hospitals de Catalunya<\/strong> i dirigida per David Conde<\/strong>, vocal d’Hospitals del COFB. <\/p>\n\n\n\n

El programa<\/strong> constava de tres jornades<\/strong> i tenia per objectius ampliar coneixements <\/strong>i proporcionar habilitats<\/strong> per fer intervencions farmac\u00e8utiques<\/strong> a l’hora de tractar pacients sotmesos a nutrici\u00f3 artificial<\/strong>. Les sessions formatives, organitzades conjuntament amb la Societat Catalana de Farm\u00e0cia Cl\u00ednica<\/a>, van comptar amb el patrocini de Braun<\/a>, Lactalis<\/a>, Nestl\u00e9 Health Science<\/a> i Vegenat<\/a>. <\/p>\n\n\n

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En el camp <\/strong>de la nutrici\u00f3 artificial<\/strong> \u00e9s clau poder fer una intervenci\u00f3 farmac\u00e8utica adequada<\/strong> i saber com funciona la nutrici\u00f3 cl\u00ednica<\/strong> orientada a prevenir<\/strong> i a tractar<\/strong> la desnutrici\u00f3<\/strong> derivada de diversos processos patol\u00f2gics<\/strong>. <\/p>\n\n\n\n

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Per aix\u00f2, el taller<\/strong> d\u2019intervenci\u00f3 farmac\u00e8utica<\/strong> al pacient amb nutrici\u00f3 artificial<\/strong> tenia com a finalitat que els alumnes assolissin un coneixement exhaustiu<\/strong> de l\u2019estat actual de la recerca<\/strong> i la pr\u00e0ctica professionals<\/strong> i fer un rep\u00e0s general <\/strong>dels fonaments<\/strong> de la nutrici\u00f3 artificial <\/strong>per centrar-nos en els temes seg\u00fcents<\/strong>: experi\u00e8ncia de la ter\u00e0pia nutricional en el pacient COVID-19<\/strong>, nutrici\u00f3 hiperproteica<\/strong> del pacient cr\u00edtic, nutrici\u00f3 parenteral perif\u00e8rica<\/strong>, relaci\u00f3 entre nutrici\u00f3 parenteral i alteraci\u00f3 hep\u00e0tica<\/strong> i quina \u00e9s la ter\u00e0pia nutricional <\/strong>en el pacient amb malaltia hep\u00e0tica<\/strong>.<\/p> <\/div>\n\n\n\n

La formaci\u00f3<\/strong> va estar impartida pels seg\u00fcents farmac\u00e8utics<\/strong>: Jan Thomas De Pourcq<\/strong>, farmac\u00e8utic adjunt a l’Hospital de Sant Pau; Juan Gonz\u00e1lez<\/strong>, farmac\u00e8utic adjunt a l’Hospital Sagrat Cor; Xavier Mateu<\/strong>, farmac\u00e8utic adjunt a l’Hospital del Mar; Mariona Roca<\/strong>, farmac\u00e8utica adjunta a l’Hospital de Terrassa; Maria Sagal\u00e9s<\/strong>, farmac\u00e8utica adjunta a l’Hospital General de Granollers i Neus Sunyer<\/strong>, farmac\u00e8utica adjunta de l’Hospital Josep Trueta. <\/p>\n\n\n\n

Desenvolupament de les sessions<\/strong><\/h2>\n\n\n\n

Jornada 1: Experi\u00e8ncia de la ter\u00e0pia nutricional en pacient COVID-19, nutrici\u00f3 parenteral i nutrici\u00f3 enteral<\/strong><\/h3>\n\n\n\n

En el marc de la primera sessi\u00f3, centrada en l’experi\u00e8ncia de la ter\u00e0pia nutricional en el pacient COVID-19<\/strong>, Neus Sunyer<\/strong>, farmac\u00e8utica adjunta a l’Hospital Josep Trueta va abordar la nutrici\u00f3 parenteral<\/strong>. Sunyer, en la seva introducci\u00f3, va referir-se a la COVID-19<\/strong> com una malaltia davant la qual les persones grans, amb diabetis mellitus<\/em> tipus 2, malalties cardiovasculars i obesitat tenen un risc m\u00e9s elevat de gravetat<\/strong> i mortalitat<\/strong>. <\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Aix\u00ed mateix, el farmac\u00e8utic Juan Gonz\u00e1lez <\/strong>va referir-se a l’experi\u00e8ncia de la ter\u00e0pia nutricional<\/strong> en el pacient COVID-19 <\/strong>(nutrici\u00f3 enteral). <\/strong>Concretament, va exposar un cas pr\u00e0ctic<\/strong>, d’un home de 69 anys, amb infecci\u00f3 per SARS-Cov-2<\/strong>, i amb les comorbiditats de DM-2<\/strong> i obesitat<\/strong>, que ingressava a l’UCI amb intubaci\u00f3<\/strong> (ventilaci\u00f3 mec\u00e0nica). Durant el desenvolupament del cas pr\u00e0ctic<\/strong>, Gonz\u00e1lez va explicar que en el pacient cr\u00edtic<\/strong> per COVID-19<\/strong>, la infecci\u00f3, l’hipermetabolisme i la immobilitzaci\u00f3 exposa a un r\u00e0pid desgast muscular<\/strong>. Tamb\u00e9 va apuntar que els pacients <\/strong>amb pneum\u00f2nia<\/strong> per SARS-CoV-2 <\/strong>tenen un elevat risc de desnutrici\u00f3<\/strong> i que aquesta \u00e9s un factor de mal pron\u00f2stic<\/strong>. En relaci\u00f3 amb la nutrici\u00f3 enteral<\/strong>, el farmac\u00e8utic va destacar que aquesta \u00e9s el suport nutricional d’elecci\u00f3<\/strong> en el pacient cr\u00edtic<\/strong> amb COVID-19<\/strong>. A m\u00e9s, va apuntar que \u00e9s recomanable iniciar la ter\u00e0pia nutricional <\/strong>amb nutrici\u00f3 enteral <\/strong>abans de les 48 hores<\/strong> des de l’ingr\u00e9s a l’UCI. <\/p>\n\n\n\n

Jornada 2: Nutrici\u00f3 hiperproteica en el pacient cr\u00edtic i nutrici\u00f3 parenteral perif\u00e8rica<\/strong><\/h3>\n\n\n\n

Jan Thomas De Pourcq<\/strong>, farmac\u00e8utic adjunt<\/strong> a l’Hospital de la Santa Creu i Sant Pau, va focalitzar-se en la nutrici\u00f3 hiperproteica<\/strong> en el pacient cr\u00edtic<\/strong>. En aquest tipus de pacient, els efectes de la malnutrici\u00f3<\/strong> impliquen: mortalitat, durada de l’ingr\u00e9s, durada de la ventilaci\u00f3 mec\u00e0nica, dificultat de cicatritzaci\u00f3 <\/strong>de les ferides i taxes d’infecci\u00f3<\/strong>. Tamb\u00e9 va recordar que la prevalen\u00e7a de la malnutrici\u00f3<\/strong> a les UCI se situa al voltant del 30-55%<\/strong>. Com a conclusions principals<\/strong> de la seva intervenci\u00f3, va apuntar que cal con\u00e8ixer en quina fase a nivell nutricional<\/strong> es troba el pacient cr\u00edtic<\/strong> per valorar les aportacions proteiques i cal\u00f2riques<\/strong>. Tamb\u00e9 va aprofundir en el fet que les guies poden oferir recomanacions<\/strong> per la dosificaci\u00f3 de la prote\u00efna i que cal monitorar l’evoluci\u00f3 del pacient. D’altra banda, va ressaltar que existeix la teoria que l’exercici f\u00edsic<\/strong> pot millorar els resultats <\/strong>en el pacient cr\u00edtic<\/strong>.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

D’altra banda, Maria Sagal\u00e9s<\/strong>, farmac\u00e8utica adjunta a l’Hospital General de Granollers, va fer refer\u00e8ncia a la nutrici\u00f3 parenteral perif\u00e8rica<\/strong>. Entre les conclusions <\/strong>de la seva intervenci\u00f3, Sagal\u00e9s va destacar que un percentatge elevat <\/strong>de pacients quir\u00fargics ingressen amb malnutrici\u00f3<\/strong>. Sobre la nutrici\u00f3 parenteral perif\u00e8rica<\/strong> va destacar alguns avantatges<\/strong>, com ara que permet disminuir l’estan\u00e7a hospital\u00e0ria <\/strong>en el postoperatori; que millora la recuperaci\u00f3 dels par\u00e0metres nutricionals<\/strong> despr\u00e9s d’una cirurgia i que en aquells pacients en dej\u00fa permet estalvi proteic<\/strong> i balan\u00e7 nitrogenat positiu<\/strong> indicatiu de s\u00edntesi proteica. <\/p>\n\n\n\n

Com a conclusions<\/strong>, va destacar que la NPP en el postoperatori de neopl\u00e0sia gastrointestinal <\/strong>\u00e9s cost-efectiva<\/strong>, amb beneficis significatius sobre el pacient<\/strong> (per la disminuci\u00f3 de l’estada hospital\u00e0ria <\/strong>i de les complicacions majors postoperat\u00f2ries) i sobre el sistema sanitari<\/strong> (per la reducci\u00f3 de costos<\/strong> i efici\u00e8ncia del sistema<\/strong>). <\/p>\n\n\n\n

Jornada 3: Relaci\u00f3 entre nutrici\u00f3 parenteral i alteraci\u00f3 hep\u00e0tica, i ter\u00e0pia nutricional en el pacient amb malaltia hep\u00e0tica <\/strong><\/h3>\n\n\n\n

Dins d’aquest bloc, Xavier Mateu<\/strong>, farmac\u00e8utic adjunt a l’Hospital del Mar, va exposar la relaci\u00f3 entre la nutrici\u00f3 parenteral<\/strong> i l’alteraci\u00f3 hep\u00e0tica<\/strong>. En la seva explicaci\u00f3, va referir-se a l’alteraci\u00f3 hep\u00e0tica<\/strong> relacionada amb la nutrici\u00f3 parenteral<\/strong>, aix\u00ed com a la definici\u00f3 de fallida intestinal <\/strong>i a l’alteraci\u00f3 hep\u00e0tica<\/strong>. <\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Per la seva banda, Mariona Roca<\/strong>, farmac\u00e8utica adjunta a l’Hospital de Terrassa, va exposar la ter\u00e0pia nutricional<\/strong> en pacients amb malaltia hep\u00e0tica<\/strong>. En primer lloc, va referir-se a les funcions del fetge<\/strong>, com a \u00f2rgan metab\u00f2lic<\/strong>, i va parlar tamb\u00e9 de l’hepatopatia<\/strong> i les seves causes<\/strong>. Aquestes causes poden ser: t\u00f2xics <\/strong>com l’alcohol, medicaments, aliments, metalls pesants; causes immunit\u00e0ries<\/strong> (hepatitis autoimmune); infeccions<\/strong> (virals i bacterianes) i causes metab\u00f2liques<\/strong>.<\/p>\n\n\n

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Nutrici\u00f3 artificial per a t\u00e8cnics de farm\u00e0cia hospital\u00e0ria<\/strong><\/h2>\n\n\n\n

El passat 3 de febrer <\/strong>va tenir lloc la formaci\u00f3<\/strong> “Nutrici\u00f3 artificial per a t\u00e8cnics de farm\u00e0cia hospital\u00e0ria”<\/strong>, que tamb\u00e9 va estar coordinada pel Grup de Nutrici\u00f3 de Farmac\u00e8utics d’Hospitals de Catalunya. Les docents d’aquesta formaci\u00f3, amb m\u00e9s de 200 inscrits<\/strong>, van ser Maria Nevot<\/strong>, farmac\u00e8utica adjunta a l’Hospital Arnau de Vilanova i Adriana San Juan<\/strong>, farmac\u00e8utica adjunta a l’Hospital de Palam\u00f3s. <\/p>\n\n\n\n

L’activitat tenia per objectius habilitar els participants<\/strong> en els aspectes cl\u00ednics <\/strong>de la nutrici\u00f3 parenteral<\/strong> i els protocols de preparaci\u00f3<\/strong>, aix\u00ed com entendre els controls microbiol\u00f2gics<\/strong> i els procediments de neteja<\/strong> de l’\u00e0rea de nutrici\u00f3 parenteral<\/strong>. Al programa de la formaci\u00f3<\/strong>, constaven els seg\u00fcents punts<\/strong>: com tractar els aspectes cl\u00ednics b\u00e0sics<\/strong> de la nutrici\u00f3 parenteral i els protocols per preparar-la<\/strong>, aix\u00ed com els controls microbiol\u00f2gics<\/strong> i els procediments de neteja<\/strong> de l’\u00e0rea de nutrici\u00f3 parenteral<\/strong>. <\/p>\n\n\n\n

La nutrici\u00f3 artificial<\/strong> \u00e9s l’\u00e0rea del servei de farm\u00e0cia dels hospitals <\/strong>de Catalunya amb m\u00e9s repercussi\u00f3<\/strong> en el tractament<\/strong> del pacient<\/strong>. La formaci\u00f3 dels t\u00e8cnics<\/strong> de farm\u00e0cia hospital\u00e0ria capa\u00e7os de fer preparacions, dissenyar protocols, establir condicions<\/strong> i procediments<\/strong> aplicables a la nutrici\u00f3 artificial, \u00e9s vital<\/strong> per al manteniment d’aquest servei<\/strong>. Tenir gent formada en aquests camps refor\u00e7a la millora de l\u2019actuaci\u00f3 farmac\u00e8utica <\/strong>en tots els pacients sotmesos a aquests tipus d\u2019alimentaci\u00f3<\/strong>. <\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

L’exposici\u00f3 d’Adriana San Juan<\/strong> va incloure els temes seg\u00fcents<\/strong>: controls microbiol\u00f2gics (validaci\u00f3 de la t\u00e8cnica as\u00e8ptica, control microbiol\u00f2gic ambiental i control d’esterilitat del producte acabat). Tamb\u00e9 va parlar del procediment de neteja<\/strong> de l’\u00e0rea de nutrici\u00f3 parenteral<\/strong>. <\/p>\n\n\n\n

San Juan va definir tamb\u00e9 el concepte de sala blanca<\/strong> aplicada a la preparaci\u00f3 de medicaments, \u00e9s a dir, una sala que garanteix l’exclusi\u00f3 microbiana<\/strong>, prevenint la contaminaci\u00f3 de materials est\u00e8rils<\/strong>, components i superf\u00edcies en operacions <\/strong>as\u00e8ptiques. En relaci\u00f3 amb els controls microbiol\u00f2gics<\/strong>, va destacar la import\u00e0ncia de la formaci\u00f3 del personal implicat en l’elaboraci\u00f3 de NP. Aquests controls, segons va exposar, proporcionen informaci\u00f3 que els dispositius, processos de desinfecci\u00f3 i pr\u00e0ctiques de treball creen un ambient de nivell microbi\u00e0<\/strong> baix. <\/p>\n\n\n\n

Per la seva banda, Mar\u00eda Nevot<\/strong> va fer refer\u00e8ncia als aspectes cl\u00ednics b\u00e0sics de la nutrici\u00f3 parenteral i els protocols per la seva preparaci\u00f3. Tamb\u00e9 va repassar alguns aspectes cl\u00ednics b\u00e0sics de la nutrici\u00f3 parenteral<\/strong>, l’objectiu d’aquesta i qu\u00e8 i quant aportem amb la nutrici\u00f3 parenteral (requeriment energ\u00e8tic, macronutrients, requeriments de l\u00edquids, requeriments de vitamines i oligoelements i electr\u00f2lits). Aix\u00ed mateix, va repassar alguns protocols <\/strong>per a la seva preparaci\u00f3 (on treballar, higiene i vestimenta, preparaci\u00f3 de nutricions parenterals, etiquetatge, emmagatzematge i dispensaci\u00f3). <\/p> <\/div>\n\n\n\n

Activitats coordinades per:<\/strong><\/p>\n\n\n\n

\"\"<\/a><\/figure>\n\n\n\n

<\/p>\n\n\n\n

<\/p>\n\n\n\n

Activitats organitzades conjuntament amb:<\/strong><\/p>\n\n\n\n

\"\"<\/a><\/figure>\n\n\n\n

<\/p>\n\n\n\n

<\/p>\n\n\n\n

<\/p>\n\n\n\n

Amb el patrocini de:<\/strong><\/p>\n\n\n\n

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

Els passats 24, 26 i 31 de gener va tenir lloc al Col\u00b7legi de Farmac\u00e8utics de Barcelona (COFB) una nova edici\u00f3 de la formaci\u00f3 “Actuaci\u00f3 farmac\u00e8utica en nutrici\u00f3 artificial”. Es tracta d’una formaci\u00f3 coordinada pel Grup de Nutrici\u00f3 de Farmac\u00e8utics d’Hospitals de Catalunya i dirigida per David Conde, vocal d’Hospitals […]<\/p>\n","protected":false},"author":1,"featured_media":67979,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[23,57],"tags":[478,120,16,64,18,19,90,479,53,122,68,113,69,480,70,481,125,126,482,127,483,76,484],"class_list":["post-59860","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-destacats","category-mon-collegial","tag-actuacio-farmaceutica","tag-actuacio-farmaceutica-en-nutricio-artificial","tag-alimentacio-i-nutricio","tag-atencio-farmaceutica","tag-cofb","tag-collegi-de-farmaceutics-de-barcelona","tag-covid-19","tag-desnutricio","tag-farmaceutics","tag-farmaceutics-hospitalaris","tag-farmacia","tag-farmacia-assistencial","tag-farmacia-comunitaria","tag-farmacia-hospitalaria","tag-formacio","tag-hospitals","tag-nutricio-artificial","tag-nutricio-clinica","tag-nutricio-enteral","tag-nutricio-parenteral","tag-nutrients","tag-oficina-de-farmacia","tag-vocalia-dhospitals"],"yoast_head":"\nActuaci\u00f3 farmac\u00e8utica en nutrici\u00f3 artificial. 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