{"id":66482,"date":"2023-03-22T18:02:52","date_gmt":"2023-03-22T16:02:52","guid":{"rendered":"https:\/\/blog.cofb.cat\/?p=66482"},"modified":"2023-10-09T10:18:25","modified_gmt":"2023-10-09T10:18:25","slug":"farmaceutics-comunitaris-sactualitzen-al-cofb-en-el-maneig-de-dispositius-dadministracio-dinsulines","status":"publish","type":"post","link":"https:\/\/www.cofb.org\/ca\/2023\/03\/22\/farmaceutics-comunitaris-sactualitzen-al-cofb-en-el-maneig-de-dispositius-dadministracio-dinsulines\/","title":{"rendered":"Farmac\u00e8utics comunitaris s’actualitzen al COFB en el maneig de dispositius d’administraci\u00f3 d’insulines"},"content":{"rendered":"\n

El passat 1 de mar\u00e7, el Col\u00b7legi de Farmac\u00e8utics de Barcelona (COFB)<\/strong> va organitzar el “Taller d’insulines i dispositius d’administraci\u00f3\u201d<\/strong>, amb el patrocini de Novo Nordisk<\/a><\/strong>. La farmac\u00e8utica comunit\u00e0ria, experta en atenci\u00f3 farmac\u00e8utica i farm\u00e0cia assistencial, a m\u00e9s de fundadora de Farmaval, Cristina Lucas<\/strong>, va impartir el taller dirigit a farmac\u00e8utics comunitaris.<\/p>\n\n\n\n

\"L'experta<\/a>
L’experta en atenci\u00f3 farmac\u00e8utica durant la seva intervenci\u00f3.<\/figcaption><\/figure>\n\n\n\n

Els objectius<\/strong> del curs van ser obtenir una visi\u00f3 actualitzada de les insulines<\/strong> disponibles i del maneig dels diferents dispositius<\/strong>, con\u00e8ixer les caracter\u00edstiques<\/strong> dels dispositius<\/strong>, com funcionen i com fer-ne un \u00fas correcte, i saber intervenir adequadament<\/strong> i donant valor en cada dispensaci\u00f3<\/strong>.<\/p>\n\n\n\n

Cristina Lucas<\/strong> va iniciar el taller fent un breu rep\u00e0s de les generalitats de les insulines<\/strong>. Va exposar qu\u00e8 \u00e9s la diabetis<\/strong>, \u201cuna malaltia metab\u00f2lica cr\u00f2nica que implica un augment de glucosa en sang<\/strong> (gluc\u00e8mia). S\u2019hi veu implicada una hormona, la insulina<\/strong>, que la segrega les c\u00e8l\u00b7lules beta del p\u00e0ncrees. B\u00e0sicament, el que fa la insulina \u00e9s ajudar al fet que el sucre entri la a la c\u00e8l\u00b7lula i es pugui utilitzar a nivell energ\u00e8tic i evitar que tinguem aquests nivells alts d\u2019insulina\u201d.<\/p>\n\n\n\n

La farmac\u00e8utica va comentar que aquesta \u201cpatologia \u00e9s complicada<\/strong>\u201d i que per controlar-la hi ha 42 variables que afecten la diabetis<\/strong>, \u201cun pacient diab\u00e8tic dep\u00e8n d\u2019uns quants par\u00e0metres que afectaran en els seus nivells de gluc\u00e8mia<\/strong>: l\u2019exercici f\u00edsic, els canvis diet\u00e8tics, els viatges, les malalties, l\u2019estr\u00e8s, la temperatura corporal, la ingesta d\u2019alcohol, el tabac, els f\u00e0rmacs, situacions cl\u00edniques puntuals, entre altres”.<\/p>\n\n\n\n

Classificaci\u00f3, conservaci\u00f3 i tipologies de plomes<\/strong><\/h2>\n\n\n\n

Pel que fa a la classificaci\u00f3 d’insulines, Lucas va explicar que hi ha tres grans criteris, segons: l\u2019estructura<\/strong>, humana o an\u00e0legs; la farmacocin\u00e8tica<\/strong>, r\u00e0pida, interm\u00e8dia, perllongada o barreges; i els sistemes d\u2019administraci\u00f3<\/strong>, vials, cartutx, smart pen, plomes, bomba infusi\u00f3, etc. Sobre la conservaci\u00f3 dels dispositius d\u2019administraci\u00f3 d\u2019insulines<\/strong>, la farmac\u00e8utica va recomanar conservar les no encetades<\/strong> a la nevera (2 \u00b0C i 8 \u00b0C), les encetades<\/strong> a temperatura ambient fins a 28 \u00b0C i fins a un m\u00e0xim de 4-8 setmanes segons la fitxa t\u00e8cnica i va aconsellar no congelar-les.<\/p>\n\n\n\n

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

En refer\u00e8ncia a la classificaci\u00f3 dels dispositius d\u2019insulina<\/strong>, l\u2019experta en farm\u00e0cia assistencial va diferenciar entre les plomes d\u2019un sol \u00fas <\/strong>, les plomes amb cartutx <\/strong>. Tamb\u00e9 va repassar altres dispositius<\/strong> com els cartux; el Pumcart, per bomba d\u2019insulina; o el pegat de monitoratge de glic\u00e8mia. Durant la formaci\u00f3, tots els assistents van comptar amb un lot complet d\u2019insulines<\/strong>, amb el qual van fer les pr\u00e0ctiques.<\/p>\n\n\n\n

Intervenci\u00f3 des de la farm\u00e0cia comunit\u00e0ria<\/strong><\/h2>\n\n\n\n

Sobre la intervenci\u00f3 i atenci\u00f3 al pacient des de la farm\u00e0cia comunit\u00e0ria, Lucas va detallar quins pacients acudiran: \u201cens podem trobar amb pacient amb diabetis tipus 1<\/strong>; diab\u00e8tics amb un diagn\u00f2stic d\u2019hemoglobina aplicada per sobre de nou<\/strong>; pacients amb alt frac\u00e0s terap\u00e8utic amb altres antidiab\u00e8tics<\/strong>, que ja han fet l\u2019escalat de doble o triple ter\u00e0pia i, tot i aix\u00f2, no es controlen el sucre; pacients amb diabetis per embar\u00e0s<\/strong>; diabetis estacional<\/strong>; descompensacions hipergluc\u00e8miques agudes<\/strong>, sobretot en el tipus 2 que estan mal controlats; pacients amb altres malalties intercurrents<\/strong>, en qu\u00e8 el pacient no \u00e9s diab\u00e8tic, per\u00f2 a causa d\u2019altres patologies que t\u00e9, acaba descontrolant-se el nivell del sucre i tamb\u00e9 per determinats f\u00e0rmacs, hi ha pacients que amb radioter\u00e0pia i amb segons quins tractaments oncol\u00f2gics<\/strong> tamb\u00e9 arriben a veure\u2019s descompensats durant un temps els nivells de sucre”.<\/p>\n\n\n\n

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

Finalment, Lucas va compartir alguns aspectes que cal tenir en compte en les dispensacions des de l\u2019oficina de farm\u00e0cia <\/strong>com saber des de quan es punxa el pacient, si utilitza ploma, si tenen lipohiperdistr\u00f2fies o lipoatr\u00f2fies, les agulles, el glucag\u00f3, la conservaci\u00f3 i l\u2019hemoglobina glicada.<\/p>\n\n\n\n

\n
<\/div>\n\n\n\n
<\/div>\n\n\n\n
\n

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

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

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

El passat 1 de mar\u00e7, el Col\u00b7legi de Farmac\u00e8utics de Barcelona (COFB) va organitzar el “Taller d’insulines i dispositius d’administraci\u00f3\u201d, amb el patrocini de Novo Nordisk. La farmac\u00e8utica comunit\u00e0ria, experta en atenci\u00f3 farmac\u00e8utica i farm\u00e0cia assistencial, a m\u00e9s de fundadora de Farmaval, Cristina Lucas, va impartir el taller dirigit a […]<\/p>\n","protected":false},"author":1,"featured_media":67710,"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 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