{"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\/es\/2023\/03\/22\/farmaceutics-comunitaris-sactualitzen-al-cofb-en-el-maneig-de-dispositius-dadministracio-dinsulines\/","title":{"rendered":"Farmac\u00e9uticos comunitarios se actualizan al COFB en el manejo de dispositivos de administraci\u00f3n de insulinas"},"content":{"rendered":"

El pasado 1 de marzo, el Col\u00b7legi de Farmac\u00e8utics de Barcelona (COFB)<\/strong> organiz\u00f3 el "Taller de insulinas y dispositivos de administraci\u00f3n"<\/strong>, con el patrocinio de Novo Nordisk<\/a><\/strong>. La farmac\u00e9utica comunitaria, experta en atenci\u00f3n farmac\u00e9utica y farmacia asistencial, adem\u00e1s de fundadora de Farmaval, Cristina Lucas<\/strong>, imparti\u00f3 el taller dirigido a farmac\u00e9uticos comunitarios.<\/p>\n\n\n\n

\"L'experta<\/a>
La experta en atenci\u00f3n farmac\u00e9utica durante su intervenci\u00f3n.<\/figcaption><\/figure>\n\n\n\n

Los objetivos<\/strong> del curso fueron obtener una visi\u00f3n actualizada de las insulinas<\/strong> disponibles y del manejo de los distintos dispositivos<\/strong>, conocer las caracter\u00edsticas<\/strong> de los dispositivos<\/strong>, c\u00f3mo funcionan y c\u00f3mo hacer un uso correcto, y saber intervenir adecuadamente<\/strong> y donante valor en cada dispensaci\u00f3n<\/strong>.<\/p>\n\n\n\n

Cristina Lucas<\/strong> inici\u00f3 el taller haciendo un breve repaso de las generalidades de las insulinas<\/strong>. Expuso qu\u00e9 es la diabetes<\/strong>, \u201cuna enfermedad metab\u00f3lica cr\u00f3nica que implica un aumento de glucosa en sangre<\/strong> (glucemia). Se ve implicada una hormona, la insulina<\/strong>, que la segrega las c\u00e9lulas beta del p\u00e1ncreas. B\u00e1sicamente, lo que hace la insulina es ayudar a que el az\u00facar entre la c\u00e9lula y se pueda utilizar a nivel energ\u00e9tico y evitar que tengamos estos niveles altos de insulina\u201d.<\/p>\n\n\n\n

La farmac\u00e9utica coment\u00f3 que esta \u201cpatolog\u00eda es complicada<\/strong>\u201d y que para controlarla hay 42 variables que afectan a la diabetes<\/strong>, \u201cun paciente diab\u00e9tico depende de unos pocos par\u00e1metros que afectar\u00e1n en sus niveles de glucemia<\/strong>: el ejercicio f\u00edsico, los cambios diet\u00e9ticos, los viajes, las enfermedades, el estr\u00e9s, la temperatura corporal, la ingesta de alcohol, el tabaco, los f\u00e1rmacos, situaciones cl\u00ednicas puntuales, entre otros\u201d.<\/p>\n\n\n\n

Clasificaci\u00f3n, conservaci\u00f3n y tipolog\u00edas de plumas<\/strong><\/h2>\n\n\n\n

En cuanto a la clasificaci\u00f3n de insulinas, Lucas explic\u00f3 que existen tres grandes criterios, seg\u00fan: la estructura<\/strong>, humana o an\u00e1logos; la farmacocin\u00e9tica<\/strong>, r\u00e1pida, intermedia, prolongada o mezclas; y los sistemas de administraci\u00f3n<\/strong>, viales, cartucho, smart pen, plumas, bomba infusi\u00f3n, etc. Sobre la conservaci\u00f3n de los dispositivos de administraci\u00f3n de insulinas<\/strong>, la farmac\u00e9utica recomend\u00f3 conservar las no iniciadas<\/strong> en la nevera (2 \u00b0C y 8 \u00b0C), lse iniciadas<\/strong> a temperatura ambiente hasta 28 \u00b0C y hasta un m\u00e1ximo de 4-8 semanas seg\u00fan la ficha t\u00e9cnica y aconsej\u00f3 no congelarlas.<\/p>\n\n\n\n

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

En referencia a la clasificaci\u00f3n de los dispositivos de insulina<\/strong>, la experta en farmacia asistencial diferenci\u00f3 entre las plumas desechables <\/strong>, las plumas con cartucho <\/strong>. Tambi\u00e9n repas\u00f3 otros dispositivos<\/strong> c\u00f3mo los cartujos; el Pumcart, por bomba de insulina; o el parche de monitorizaci\u00f3n de glicemia. Durante la formaci\u00f3n, todos los asistentes contaron con un lote completo de insulinas<\/strong>, con el que realizaron las pr\u00e1cticas.<\/p>\n\n\n\n

Intervenci\u00f3n desde la farmacia comunitaria<\/strong><\/h2>\n\n\n\n

Sobre la intervenci\u00f3n y atenci\u00f3n al paciente desde la farmacia comunitaria, Lucas detall\u00f3 qu\u00e9 pacientes acudir\u00e1n: \u201cpodemos encontrarnos con paciente con diabetes tipo 1<\/strong>; diab\u00e9ticos con un diagn\u00f3stico de hemoglobina aplicada por encima de nuevo<\/strong>; pacientes con alto fracaso terap\u00e9utico con otros antidiab\u00e9ticos<\/strong>, que ya han realizado el escalado de doble o triple terapia y, sin embargo, no se controlan el az\u00facar; pacientes con diabetes por embarazo<\/strong>; diabetes estacional<\/strong>; descompensaciones hipergluc\u00e9micas agudas<\/strong>, sobre todo en el tipo 2 que est\u00e1n mal controlados; pacientes con otras enfermedades intercurrentes<\/strong>, en el que el paciente no es diab\u00e9tico, pero debido a otras patolog\u00edas que tiene, acaba descontrol\u00e1ndose el nivel del az\u00facar y tambi\u00e9n por determinados f\u00e1rmacos, hay pacientes que radioterapia y con seg\u00fan qu\u00e9 tratamientos oncol\u00f3gicos<\/strong> tambi\u00e9n llegan a verse descompensados por un tiempo los niveles de az\u00facar\u201d.<\/p>\n\n\n\n

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

Por \u00faltimo, Lucas comparti\u00f3 algunos aspectos que hay que tener en cuenta en las dispensaciones desde la oficina de farmacia <\/strong>c\u00f3mo saber desde cu\u00e1ndo se pincha el paciente, si utiliza pluma, si tienen lipohiperdistrofias o lipoatrofias, las agujas, el glucag\u00f3n, la conservaci\u00f3n y la hemoglobina glicada.<\/p>\n\n\n\n

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

Con el patrocinio de:<\/strong><\/p>\n\n\n\n

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

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

El pasado 1 de marzo, el Colegio de Farmac\u00e9uticos de Barcelona (COFB) organiz\u00f3 el \u201cTaller de insulinas y dispositivos de administraci\u00f3n\u201d, con el patrocinio de Novo Nordisk. La farmac\u00e9utica comunitaria, experta en atenci\u00f3n farmac\u00e9utica y farmacia asistencial, adem\u00e1s de fundadora de Farmaval, Cristina Lucas, imparti\u00f3 el taller dirigido a [\u2026]<\/p>","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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