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Skip to content Atualizado em 08/02/2023 às 11:19
O peritônio é uma membrana serosa que cobre os órgãos abdominais e reveste a parede abdominal e pélvica, funcionando como uma membrana semipermeável. É composta por uma área da superfície corporal de cerca de 22 mil cm². A administração de medicamentos por essa via é mais comum para a realização de diálise ou infusão de quimioterápicos. Na administração de medicamento, um cateter é colocado na cavidade peritoneal e a solução dialítica é instalada. Água, eletrólitos e produtos tóxicos do metabolismo passam do leito capilar do peritônio para o dialisado, por osmose ou difusão.
A diálise peritoneal pode ser um tratamento de escolha para pacientes com insuficiência renal, que não são capazes ou que não desejam se submeter à hemodiálise ou transplante renal. Por conseguinte, pacientes com diabetes, doenças cardiovasculares, idosos e aqueles que podem estar em risco de efeitos colaterais do uso sistêmico da heparina são candidatos a esse método.
Tipos de cateteres para diálise Cateter de curta permanência É um cateter rígido e desenhado para uso único ou esporádico, por exemplo, em pacientes que fazem quimioterapia uma vez por mês. Esse cateter pode ser instalado à beira do leito e usado imediatamente. É menos dispendioso e sua retirada é mais fácil.
Sua desvantagem é poder perfurar órgãos e causar mais dor, quando comparado aos cateteres de longa permanência, além de ser mais suscetível a vazamentos e expulsões da cavidade intraperitoneal. Esse cateter deve ser trocado a cada três dias (72 horas), conforme padronização da Comissão de Controle de Infecção e Epidemiologia Hospitalar – CCIEH.
Cateter de longa permanência É um cateter de silicone ou de poliuretano (cateter de TencKhoff®), possuindo um ou dois cuffs e uma película de Dacron de 1 a 1,5 cm de comprimento, que envolve o cateter em sua porção extraperitoneal. O cuff serve para fixar o cateter no seu trajeto, no interior da parede abdominal. A película de Dracon tem como função prevenir a migração de bactérias do paciente para o túnel subcutâneo.
Acesso subcutâneo O cateter subcutâneo (tipo port-a-cath) é implantado sob a pele do abdome, por um túnel produzido no tecido subcutâneo e comunica a cavidade peritoneal do paciente com o acesso externo.
Esse acesso possui um reservatório para medicamentos e um septo de silicone autobloqueável, que pode resistir até 2 mil punções com agulhas. Dois manguitos ancoram o cateter no local, evitando, assim, seu desloca- mento dentro da cavidade.
Os acessos intraperitoneais tendem a ser mais dispendiosos do que os cateteres externos e não permitem a irrigação sob alta pressão, a irrigação forçada ou a manipulação para desprender ou afrouxar coágulos. Porém, se o tratamento do paciente for domiciliar, esse cateter é indicado, pois não requer cuidados especiais e possui menor risco de infecção e perfuração visceral do que os cateteres externos.
Esse tipo de acesso não é apropriado para pacientes com infecção, desnutridos obesos ou que foram submetidos à radioterapia torácica ou mastectomia. Nesse último caso, a restrição é quanto à colocação torácica do cateter, podendo ser feita a implantação próxima à crista ilíaca ou inguinal, sem contraindicação.
Realização de diálise peritoneal Cada ciclo da diálise peritoneal compreende três fases:
Infusão.
Permanência.
Drenagem do líquido. Infusão Permanência Drenagem A solução é infundida na cavidade abdominal, por força da gravidade, através do cateter implantado no peritôneo. Nesta fase, ocorre o processo de difusão e ultrafiltração. O tempo de permanência varia de acordo com as necessidades dialíticas
do paciente. Há a remoção das escórias nitrogenadas e do excesso de água.
A remoção das escórias dependerá do equilíbrio entre a solução de diálise
e o sangue.
Material:
Equipo de diálise em Y.
Bolsa de drenagem.
Líquido dialisado aquecido.
Compressa com iodopovidona.
Solução de iodopovidona.
Luvas estéreis.
Máscara.
Avental estéril.
Compressas de gaze estéril.
Esparadrapo ou fita adesiva hipoalergênica.
Dois protetores ou campos impermeáveis. Procedimento :
Explicar o procedimento ao paciente.
Pesar o paciente em jejum.
Verificar sinais vitais.
Mensurar circunferência abdominal.
Lavar as mãos e colocar o avental, a máscara e as luvas estéreis.
Abrir o equipo em Y e, a seguir, conectar a linha de saída única da bolsa de drenagem.
Fechar os clampes do tubo.
Retirar a cobertura de uma das pontas do tubo, introduzi-la no dialisado e a outra na bolsa que contém a solução.
Abrir o clampe entre a solução e o paciente.
Retirar todo o ar do sistema e fechar o clampe.
Abrir os clampes de modo que a bolsa de drenagem encha e também seja preenchida essa parte do tubo.
Fechar todos os clampes.
Abrir o campo estéril.
Colocar as compressas de gaze, a solução e as compressas com iodopovidona sobre o campo estéril.
Colocar outro protetor sobre a extensão do tubo que parte do cateter.
Retirar e descartar as luvas usadas.
Calçar um novo par de luvas estéreis.
Realizar a desinfecção da tampa do tubo de extensão e conectar o tubo do cateter ao equipo de administração.
Fixar a conexão com esparadrapo.
Fixar uma alça do tubo no abdome do paciente para evitar tensão do cateter.
Abrir o clampe do tubo de extensão do cateter e do tubo do equipo de administração, para iniciar a infusão para a cavidade peritoneal.
Deixar o paciente em posição confortável.
Descartar o material utilizado em local adequado.
Anotar a hora do início da infusão. Cuidados importantes:
Certificar-se de que o clampe da bolsa de drenagem está realmente fechado para evitar a saída acidental da solução da cavidade para a bolsa de drenagem.
Após a infusão, fechar o clampe de entrada para evitar entrada acidental de ar na extensão e na cavidade peritoneal.
Manter o líquido na cavidade conforme prescrição médica.
Se necessário, realizar movimentação passiva do paciente, para proporcionar contato da solução com todas as superfícies do peritônio.
Ao término da permanência, drenar a cavidade abrindo o clampe.
Durante o período de permanência, o paciente pode referir desconforto, com dor abdominal, sensação de plenitude e dificuldade para respirar. Procurar deixá-lo em posição confortável.
Observar se todo o líquido infundido foi drenado.
Anotar a quantidade e o aspecto do líquido drenado.
Comunicar ao médico qualquer anormalidade detectada (por exemplo, drenagem de sangue ou retenção de líquido na cavidade).
Repetir as fases de infusão, permanência e drenagem, até completar o número de banhos prescritos, conforme prescrição médica.
Ao final das infusões, realizar desinfecção do cateter com iodopovidona.
Reunir e descartar todo o material.
Realizar desinfecção da borda do cateter e colocar a tampa estéril.
Trocar o curativo e fixar o cateter. Acesso implantável:
Localizar o acesso peritoneal, palpando-o.
Higienizar as mãos. Colocar máscara.
Abrir o material com técnica estéril em campo estéril.
Colocar as luvas e o avental estéril.
Limpar a pele do paciente com gazes estéreis embebidas em iodopovidona e deixar a solução secar.
Usar a mão não dominante para firmar o acesso. Puncionar com uma agulha sem mandril, que já tenha sido preenchida previamente com soro fisiológico e que já esteja conectada a um equipo de extensão.
Fixar a agulha colocando esparadrapo, fitas adesivas estéreis ou filme transparente sobre o mandril.
Com uma seringa com soro fisiológico, verificar se a agulha está bem posicionada, tentando aspirar líquido. Se não houver retorno de líquido, tentar lavar o acesso com soro fisio- lógico.
Conectar o equipo de administração e iniciar a infusão, considerando todas as fases da diálise. Cuidados com o cateter: Nos primeiros dias após a implantação de um cateter para diálise, ele deve ser mantido pérvio, de acordo com o protocolo da instituição ou prescrição médica.
Exemplo :
Irrigar o cateter com 500 ml de uma solução de diálise heparinizada a cada 2 ou 3 horas, durante três dias. A seguir, preencher o cateter com 5.000 UI de heparina (1.000 U/ml) e mantê-lo ocluído.
Um período de cicatrização de duas semanas permite que o cateter seja selado e não vaze.
Realizar a troca diária do curativo até a cicatrização total.
Manter o acesso implantável desobstruído, irrigando-o rotineiramente com 5 a 10 ml de soro fisiológico. Antes e após a administração de medicamentos, realizar uma pequena irrigação com 20 ml de solução compatível.
O médico deve retirar um cateter de longa permanência ou um acesso implantável. O enfermeiro pode retirar um cateter de curta permanência.
Segundo o Decreto no 94.406/1987, sobre o exercício da Enfermagem, artigo 8o, inciso I, alínea h, cabe ao Enfermeiro: “cuidados de Enfermagem de maior complexidade técnica e que exijam conhecimentos científicos adequados e capacidade de tomar decisões imediatas”.
Registrar os sinais vitais.
Pesar e medir a circunferência abdominal do paciente, verificar o aspecto da região do cateter, a solução ou medicamento infundido, incluindo o volume, a dose e a taxa de administração, a cor do efluente do cateter, a resposta do paciente ao procedimento e as orientações dadas durante a diálise.
São sinais de peritonite: febre, calafrios, hiperestesia abdominal, espasmos generalizados, dispneia, náuseas, opacificação do líquido de drenagem peritoneal, eritema, edema ou saída de secreção pela região do cateter. É importante uma educação adequada e bem registrada, no caso de pacientes que farão uso do cateter em domícilio. Cuidados na administração da diálise peritoneal: Em todos os tipos de cateteres, a técnica asséptica rigorosa é imprescindível.
Antes de iniciar a infusão, a bolsa deve ser aquecida em calor seco, em torno de 36ºC.
Soluções frias causam dor e menor eficiência da diálise em virtude da vasoconstrição.
Soluções quentes queimam o peritôneo.
Atentar para queixas álgicas, sinais de infecção, desconforto abdominal e respiratório, bem como mau posicionamento do cateter.
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