{"id":1299,"date":"2026-05-22T10:00:00","date_gmt":"2026-05-22T13:00:00","guid":{"rendered":"https:\/\/sevenresiduosaude.com.br\/blog\/?p=1299"},"modified":"2026-05-22T10:00:00","modified_gmt":"2026-05-22T13:00:00","slug":"pgrss-clinica-transtornos-alimentares-anorexia-bulimia-rss","status":"publish","type":"post","link":"https:\/\/sevenresiduosaude.com.br\/blog\/pgrss-clinica-transtornos-alimentares-anorexia-bulimia-rss\/","title":{"rendered":"PGRSS cl\u00ednica transtornos alimentares \u2014 TCA"},"content":{"rendered":"<h2>Por que TCA tem perfil espec\u00edfico<\/h2>\n<p>Centro especializado em Transtornos da Conduta Alimentar (TCA) atende <strong>anorexia nervosa<\/strong> + <strong>bulimia nervosa<\/strong> + <strong>transtorno de compuls\u00e3o alimentar<\/strong> + <strong>TCA at\u00edpico<\/strong> + <strong>AFRID (transtorno restritivo alimentar evitativo)<\/strong>. Combina <strong>avalia\u00e7\u00e3o cl\u00ednica multidisciplinar<\/strong> + <strong>eventual sonda nasog\u00e1strica para realimenta\u00e7\u00e3o<\/strong> + <strong>monitoriza\u00e7\u00e3o eletrol\u00edtica frequente<\/strong> + <strong>psicoterapia (TCC, FBT)<\/strong> + <strong>medica\u00e7\u00e3o adjuvante (ISRS, antipsic\u00f3ticos at\u00edpicos para baixo peso)<\/strong>. Opera sob RDC 222 + Portaria 336\/2002 + Diretrizes ABP + Resolu\u00e7\u00e3o CFM 2.002\/2024.<\/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>Sonda nasog\u00e1strica + frasco dieta enteral<\/td>\n<td>A1 risco aumentado<\/td>\n<td>1-3 kg<\/td>\n<\/tr>\n<tr>\n<td>Tubo coleta laboratorial frequente (eletr\u00f3litos)<\/td>\n<td>A1 RA + E<\/td>\n<td>2-5 kg<\/td>\n<\/tr>\n<tr>\n<td>Frasco antidepressivo\/antipsic\u00f3tico vencido<\/td>\n<td>B (controlado)<\/td>\n<td>0,3-1 kg<\/td>\n<\/tr>\n<tr>\n<td>Material monitoramento (ECG, glicemia capilar)<\/td>\n<td>A1 baixa + E<\/td>\n<td>1-3 kg<\/td>\n<\/tr>\n<tr>\n<td>Material v\u00f4mito induzido (bulimia, refei\u00e7\u00f5es teste)<\/td>\n<td>A1 RA<\/td>\n<td>0,5-2 kg<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Volume t\u00edpico: <strong>5-14 kg\/m\u00eas<\/strong>.<\/p>\n<h2>Cap\u00edtulo s\u00edndrome de realimenta\u00e7\u00e3o<\/h2>\n<p>Realimenta\u00e7\u00e3o em paciente anor\u00e9xica grave (BMI <13) tem risco severo:<\/p>\n<ul>\n<li>Hipofosfatemia + hipocalemia + hipomagnesemia<\/li>\n<li>Card\u00edaco: arritmia ventricular fatal<\/li>\n<li>Monitoriza\u00e7\u00e3o eletrol\u00edtica di\u00e1ria (5-7 dias)<\/li>\n<li>Reposi\u00e7\u00e3o IV de fosfato + pot\u00e1ssio + magn\u00e9sio<\/li>\n<li>Material da reposi\u00e7\u00e3o = A1 RA (grande volume)<\/li>\n<li>Eventual sonda nasoenteral p\u00f3s-pil\u00f3rica<\/li>\n<\/ul>\n<h2>3 perfis<\/h2>\n<p><strong>Perfil 1 \u2014 Consult\u00f3rio TCA ambulatorial:<\/strong> R$ 130-280\/m\u00eas. Setup R$ 2-4k.<\/p>\n<p><strong>Perfil 2 \u2014 Centro TCA com hospital-dia:<\/strong> R$ 380-800\/m\u00eas. Setup R$ 6-14k.<\/p>\n<p><strong>Perfil 3 \u2014 Centro especializado avan\u00e7ado (com interna\u00e7\u00e3o curta):<\/strong> R$ 800-1700\/m\u00eas. Setup R$ 14-30k.<\/p>\n<h2>3 erros frequentes<\/h2>\n<ol>\n<li>Sonda NG removida no Grupo D \u2014 \u00e9 A1 RA (suco g\u00e1strico)<\/li>\n<li>Frasco antidepressivo vencido na pia \u2014 controlado SNGPC<\/li>\n<li>Material v\u00f4mito induzido bulimia \u2014 \u00e9 A1 RA (n\u00e3o saliva pura)<\/li>\n<\/ol>\n<p><strong><a href=\"https:\/\/sevenresiduosaude.com.br\/orcamento\/\">Solicite cota\u00e7\u00e3o cl\u00ednica TCA<\/a><\/strong> \u2014 cap\u00edtulo realimenta\u00e7\u00e3o + sonda + monitoramento eletrol\u00edtico.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>RSS de cl\u00ednica de transtornos alimentares: anorexia, bulimia, compuls\u00e3o. SNG, monitoramento, interna\u00e7\u00e3o ambulatorial.<\/p>\n","protected":false},"author":3,"featured_media":1298,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[2224,2225,22,2223],"class_list":["post-1299","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance-legislacao","tag-anorexia","tag-bulimia","tag-rdc-222","tag-tca"],"_links":{"self":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1299","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=1299"}],"version-history":[{"count":1,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1299\/revisions"}],"predecessor-version":[{"id":3891,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1299\/revisions\/3891"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media\/1298"}],"wp:attachment":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media?parent=1299"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/categories?post=1299"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/tags?post=1299"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}