{"id":1233,"date":"2026-05-21T02:00:00","date_gmt":"2026-05-21T05:00:00","guid":{"rendered":"https:\/\/sevenresiduosaude.com.br\/blog\/?p=1233"},"modified":"2026-05-21T02:00:00","modified_gmt":"2026-05-21T05:00:00","slug":"rss-clinica-medicina-paliativa-fim-vida-oxigenio-rss","status":"publish","type":"post","link":"https:\/\/sevenresiduosaude.com.br\/blog\/rss-clinica-medicina-paliativa-fim-vida-oxigenio-rss\/","title":{"rendered":"RSS cl\u00ednica paliativa \u2014 fim de vida e oxig\u00eanio"},"content":{"rendered":"<h2>Por que paliativa tem perfil espec\u00edfico<\/h2>\n<p>Centro de cuidados paliativos atende <strong>pacientes com doen\u00e7a sem possibilidade de cura<\/strong> (CFM 1.805\/2006) \u2014 c\u00e2ncer terminal, doen\u00e7as neurodegenerativas avan\u00e7adas, fal\u00eancia multi\u00f3rg\u00e3os. Combina <strong>manejo de dor com opioides fortes (morfina, fentanil, metadona)<\/strong> + <strong>oxigenoterapia domiciliar (cilindro O2 + concentrador)<\/strong> + <strong>sonda enteral (gastrostomia, jejunostomia)<\/strong> + <strong>eventual seda\u00e7\u00e3o paliativa terminal<\/strong> + <strong>suporte psicol\u00f3gico fam\u00edlia<\/strong>. Opera sob RDC 222 + Portaria 344 + Resolu\u00e7\u00e3o CFM 1.805\/2006 + Lei M\u00e1rio Covas (eutan\u00e1sia \u2260 paliativo).<\/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 morfina\/fentanil\/metadona vencido<\/td>\n<td>B (controlado A1 SNGPC)<\/td>\n<td>0,5-2 kg<\/td>\n<\/tr>\n<tr>\n<td>Material sonda enteral (gastrostomia, jejuno)<\/td>\n<td>A1 risco aumentado<\/td>\n<td>2-5 kg<\/td>\n<\/tr>\n<tr>\n<td>Material aplica\u00e7\u00e3o opi\u00f3ide (agulha 23-25G + frasco)<\/td>\n<td>E + A1 RA<\/td>\n<td>1-3 kg<\/td>\n<\/tr>\n<tr>\n<td>Cilindro O2 vazio (devolu\u00e7\u00e3o fornecedor)<\/td>\n<td>D (recipiente met\u00e1lico)<\/td>\n<td>vari\u00e1vel<\/td>\n<\/tr>\n<tr>\n<td>Material seda\u00e7\u00e3o terminal (midazolam IV)<\/td>\n<td>B (controlado B1)<\/td>\n<td>0,3-1 kg<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Volume t\u00edpico: <strong>4-11 kg\/m\u00eas<\/strong> (centro ambulatorial).<\/p>\n<h2>Cap\u00edtulo opioides em paliativos<\/h2>\n<p>Doses elevadas de morfina\/fentanil em paliativos:<\/p>\n<ul>\n<li>Frasco morfina 100mL = 1g de princ\u00edpio ativo<\/li>\n<li>Vencimento + satura\u00e7\u00e3o crom\u00e1tica = <strong>descarte como Grupo B controlado<\/strong><\/li>\n<li>Notifica\u00e7\u00e3o SNGPC + c\u00f3pia ANVISA<\/li>\n<li>Devolu\u00e7\u00e3o ao distribuidor preferencial (log\u00edstica reversa)<\/li>\n<li>Em caso de quebra acidental: ata + testemunha + Pol\u00edcia Federal (alguns casos)<\/li>\n<li>Cuidado com divers\u00e3o (uso indevido por terceiros)<\/li>\n<\/ul>\n<h2>3 perfis<\/h2>\n<p><strong>Perfil 1 \u2014 Consult\u00f3rio paliativista ambulatorial:<\/strong> R$ 130-280\/m\u00eas. Setup R$ 2-4k.<\/p>\n<p><strong>Perfil 2 \u2014 Centro multidisciplinar paliativo:<\/strong> R$ 280-580\/m\u00eas. Setup R$ 4-10k.<\/p>\n<p><strong>Perfil 3 \u2014 Hospice \/ unidade especializada:<\/strong> R$ 580-1300\/m\u00eas. Setup R$ 10-22k.<\/p>\n<h2>3 erros frequentes<\/h2>\n<ol>\n<li>Frasco morfina vencido na pia \u2014 controlado A1 SNGPC<\/li>\n<li>Sonda gastrostomia removida em saco simples \u2014 \u00e9 A1 RA (conte\u00fado g\u00e1strico)<\/li>\n<li>Cilindro O2 n\u00e3o-devolvido \u2014 perda fornecedor + custo<\/li>\n<\/ol>\n<p><strong><a href=\"https:\/\/sevenresiduosaude.com.br\/orcamento\/\">Solicite cota\u00e7\u00e3o centro paliativo<\/a><\/strong> \u2014 cap\u00edtulo opioides + sonda enteral + seda\u00e7\u00e3o terminal.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>RSS de cuidados paliativos: fim de vida, oxig\u00eanio domiciliar, opi\u00f3ide controlado, sonda enteral.<\/p>\n","protected":false},"author":3,"featured_media":1232,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[2165,2164,2166,22],"class_list":["post-1233","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance-legislacao","tag-cuidados-fim-de-vida","tag-medicina-paliativa","tag-opioide-2","tag-rdc-222"],"_links":{"self":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1233","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=1233"}],"version-history":[{"count":1,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1233\/revisions"}],"predecessor-version":[{"id":3859,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1233\/revisions\/3859"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media\/1232"}],"wp:attachment":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media?parent=1233"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/categories?post=1233"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/tags?post=1233"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}