{"id":1107,"date":"2026-05-18T19:00:00","date_gmt":"2026-05-18T22:00:00","guid":{"rendered":"https:\/\/sevenresiduosaude.com.br\/blog\/?p=1107"},"modified":"2026-05-18T19:00:00","modified_gmt":"2026-05-18T22:00:00","slug":"rss-clinica-oncologia-pediatrica-qt-infantil-rss","status":"publish","type":"post","link":"https:\/\/sevenresiduosaude.com.br\/blog\/rss-clinica-oncologia-pediatrica-qt-infantil-rss\/","title":{"rendered":"RSS oncologia pedi\u00e1trica \u2014 QT pedi\u00e1trica e vacina"},"content":{"rendered":"<h2>Por que onco pedi\u00e1trica tem perfil espec\u00edfico<\/h2>\n<p>Centro de oncologia pedi\u00e1trica atende <strong>leucemia infantil (LLA\/LMA)<\/strong>, <strong>tumores s\u00f3lidos (Wilms, neuroblastoma, ostegossarcoma)<\/strong>, <strong>linfoma (Hodgkin\/n\u00e3o-Hodgkin)<\/strong>. Combina <strong>port-a-cath (cateter totalmente implantado)<\/strong> + <strong>QT em dose ajustada por SC (m\u00b2)<\/strong> + <strong>leucovorina resgate<\/strong> + <strong>vacina viva atenuada contraindicada<\/strong> + <strong>monitoriza\u00e7\u00e3o nadir hematol\u00f3gico<\/strong>. Opera sob RDC 220\/2004 + Portaria GBOPe + Pol\u00edtica Nacional C\u00e2ncer Infantojuvenil.<\/p>\n<h2>Tabela 5 fluxos<\/h2>\n<table>\n<thead>\n<tr>\n<th>Fluxo<\/th>\n<th>Grupo<\/th>\n<th>Volume mensal<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Frasco QT pedi\u00e1trica (metotrexate, vincristina)<\/td>\n<td>B (citost\u00e1tico)<\/td>\n<td>1-3 kg<\/td>\n<\/tr>\n<tr>\n<td>Equipo IV p\u00f3s-QT pedi\u00e1trica<\/td>\n<td>A1 risco aumentado<\/td>\n<td>3-7 kg<\/td>\n<\/tr>\n<tr>\n<td>Acess\u00f3rio port-a-cath (Huber+heparina)<\/td>\n<td>A1 RA<\/td>\n<td>0,5-2 kg<\/td>\n<\/tr>\n<tr>\n<td>Excreta paciente sob QT (urina\/fezes 48h)<\/td>\n<td>A1 RA + cuidados especiais<\/td>\n<td>log\u00edstica espec\u00edfica<\/td>\n<\/tr>\n<tr>\n<td>Frasco vacina viva atenuada (proibida durante QT)<\/td>\n<td>B + descarte por validade<\/td>\n<td>0,3-0,8 kg<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Volume t\u00edpico: <strong>5-13 kg\/m\u00eas<\/strong>.<\/p>\n<h2>Cap\u00edtulo excreta paciente pedi\u00e1trico sob QT<\/h2>\n<p>Urina\/fezes nas primeiras 48-72h p\u00f3s-QT cont\u00eam metab\u00f3litos citot\u00f3xicos:<\/p>\n<ul>\n<li>Banheiro privativo do paciente em ambulat\u00f3rio<\/li>\n<li>N\u00e3o compartilhar vaso sanit\u00e1rio<\/li>\n<li>Limpeza com produto espec\u00edfico (hipoclorito 1%)<\/li>\n<li>Treinamento do cuidador familiar (NR-32 simplificada)<\/li>\n<li>Em casos especiais: coleta como Grupo B<\/li>\n<\/ul>\n<h2>3 perfis<\/h2>\n<p><strong>Perfil 1 \u2014 Consult\u00f3rio onco-pedi\u00e1trico:<\/strong> R$ 200-450\/m\u00eas. Setup R$ 4-8k.<\/p>\n<p><strong>Perfil 2 \u2014 Centro com sala QT (3-5 macas):<\/strong> R$ 450-1000\/m\u00eas. Setup R$ 8-18k.<\/p>\n<p><strong>Perfil 3 \u2014 Hospital especializado infantojuvenil:<\/strong> R$ 1000-2200\/m\u00eas. Setup R$ 18-40k.<\/p>\n<h2>3 erros frequentes<\/h2>\n<ol>\n<li>Vacina viva atenuada vencida no Grupo D \u2014 \u00e9 Grupo B<\/li>\n<li>Acess\u00f3rio Huber port-a-cath em perfuro comum \u2014 exige perfuro espec\u00edfico<\/li>\n<li>Sem orienta\u00e7\u00e3o ao cuidador sobre excreta \u2014 risco familiar<\/li>\n<\/ol>\n<p><strong><a href=\"https:\/\/sevenresiduosaude.com.br\/orcamento\/\">Solicite cota\u00e7\u00e3o onco-pedi\u00e1trica<\/a><\/strong> \u2014 cap\u00edtulo excreta + port-a-cath + vacina viva atenuada.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>RSS de oncologia pedi\u00e1trica: QT infantil, port-a-cath, vacina viva atenuada, dose ajustada superf\u00edcie corporal.<\/p>\n","protected":false},"author":3,"featured_media":1106,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[2072,1513,1871,1872],"class_list":["post-1107","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance-legislacao","tag-gbope","tag-oncologia-pediatrica","tag-quimioterapia","tag-rdc-220"],"_links":{"self":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1107","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/comments?post=1107"}],"version-history":[{"count":1,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1107\/revisions"}],"predecessor-version":[{"id":3678,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1107\/revisions\/3678"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media\/1106"}],"wp:attachment":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media?parent=1107"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/categories?post=1107"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/tags?post=1107"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}