{"id":1412,"date":"2026-05-24T17:00:00","date_gmt":"2026-05-24T20:00:00","guid":{"rendered":"https:\/\/sevenresiduosaude.com.br\/blog\/?p=1412"},"modified":"2026-05-24T17:00:00","modified_gmt":"2026-05-24T20:00:00","slug":"pgrss-clinica-nefrologia-capd-transplante-seguimento-rss","status":"publish","type":"post","link":"https:\/\/sevenresiduosaude.com.br\/blog\/pgrss-clinica-nefrologia-capd-transplante-seguimento-rss\/","title":{"rendered":"PGRSS cl\u00ednica nefrologia \u2014 CAPD + transplante"},"content":{"rendered":"<h2>Por que cl\u00ednica nefrologia ambulatorial tem perfil espec\u00edfico<\/h2>\n<p>Cl\u00ednica nefrol\u00f3gica ambulatorial (n\u00e3o-hemodi\u00e1lise) trata: <strong>doen\u00e7a renal cr\u00f4nica (DRC) est\u00e1gios 3-4<\/strong> pr\u00e9-di\u00e1lise + <strong>CAPD (di\u00e1lise peritoneal cont\u00ednua ambulatorial)<\/strong> treinamento + monitoramento + <strong>seguimento p\u00f3s-transplante renal<\/strong> (rejei\u00e7\u00e3o, imunossupress\u00e3o) + <strong>bi\u00f3psia renal percut\u00e2nea<\/strong> + <strong>doen\u00e7a renal poliqu\u00edstica<\/strong> + <strong>glomerulonefrite imune<\/strong>. Volume m\u00e9dio de RSS \u2014 bolsa CAPD usada + tubo coleta + frasco imunossupressor + bi\u00f3psia. Opera sob RDC 222 + RDC 154\/2004 (terapia renal substitutiva) + Resolu\u00e7\u00e3o SBN + Lei 9.434 transplante + Resolu\u00e7\u00e3o CFM 2.077 + LGPD art. 5 II.<\/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>Bolsa CAPD usada (efluente peritoneal)<\/td>\n<td>A1 risco aumentado fluido<\/td>\n<td>5-15 kg + 30-100L<\/td>\n<\/tr>\n<tr>\n<td>Tubo coleta sangue (creatinina, ureia, biomarkers)<\/td>\n<td>A1 risco aumentado + E<\/td>\n<td>2-5 kg<\/td>\n<\/tr>\n<tr>\n<td>Frasco imunossupressor (tacrolimus, ciclosporina, MMF)<\/td>\n<td>B (controlado RDC 96)<\/td>\n<td>0,5-1,5 kg<\/td>\n<\/tr>\n<tr>\n<td>Material bi\u00f3psia renal percut\u00e2nea + frasco formol<\/td>\n<td>A1 RA + B (formol)<\/td>\n<td>0,5-2 kg<\/td>\n<\/tr>\n<tr>\n<td>Cassete hemodi\u00e1lise emerg\u00eancia (eventual)<\/td>\n<td>A1 risco aumentado<\/td>\n<td>1-3 kg<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Volume t\u00edpico: <strong>8-25 kg\/m\u00eas<\/strong> + 30-100L fluido CAPD.<\/p>\n<h2>Cap\u00edtulo CAPD treinamento + bolsa domiciliar<\/h2>\n<p>CAPD \u00e9 di\u00e1lise feita pelo paciente em casa:<\/p>\n<ul>\n<li>4 trocas\/dia \u00d7 2L cada = 8L\/dia \u00d7 30 dias = 240L\/m\u00eas paciente<\/li>\n<li>Bolsa usada efluente peritoneal = A1 RA (perit\u00f4nio + bact\u00e9rias)<\/li>\n<li>Treinamento cl\u00ednico 5-7 dias inicial paciente + cuidador<\/li>\n<li>Material descart\u00e1vel domiciliar retorna para coletora especializada (cl\u00e1usula contratual SUS\/operadora)<\/li>\n<li>Cateter Tenckhoff infec\u00e7\u00e3o tunel (peritonite) = A1 RA + cultura + antibi\u00f3tico IV<\/li>\n<li>ART RT nefrologia + CRM + auditoria SBN trimestral<\/li>\n<\/ul>\n<h2>3 perfis<\/h2>\n<p><strong>Perfil 1 \u2014 Consult\u00f3rio nefrologia b\u00e1sica:<\/strong> R$ 280-580\/m\u00eas. Setup R$ 4-9k.<\/p>\n<p><strong>Perfil 2 \u2014 Centro com CAPD treinamento + transplante seguimento:<\/strong> R$ 800-1800\/m\u00eas. Setup R$ 12-25k.<\/p>\n<p><strong>Perfil 3 \u2014 Centro avan\u00e7ado (CAPD + bi\u00f3psia + multi-transplante + pesquisa):<\/strong> R$ 1800-4500\/m\u00eas. Setup R$ 25-55k.<\/p>\n<h2>3 erros frequentes<\/h2>\n<ol>\n<li>Bolsa CAPD efluente esgoto comum \u2014 auto IBAMA + ANVISA<\/li>\n<li>Frasco tacrolimus pia \u2014 controlado RDC 96 + cassa\u00e7\u00e3o<\/li>\n<li>Sem cl\u00e1usula retorno bolsa domiciliar paciente \u2014 quebra cadeia<\/li>\n<\/ol>\n<p><strong><a href=\"https:\/\/sevenresiduosaude.com.br\/orcamento\/\">Solicite cota\u00e7\u00e3o cl\u00ednica nefrologia<\/a><\/strong> \u2014 cap\u00edtulo CAPD + transplante + imunossupressor.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>RSS de cl\u00ednica de nefrologia ambulatorial: CAPD di\u00e1lise peritoneal, transplante seguimento, biomarkers.<\/p>\n","protected":false},"author":3,"featured_media":1411,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[2343,2342,22,2266],"class_list":["post-1412","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance-legislacao","tag-capd","tag-nefrologia","tag-rdc-222","tag-transplante"],"_links":{"self":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1412","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=1412"}],"version-history":[{"count":1,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1412\/revisions"}],"predecessor-version":[{"id":3945,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1412\/revisions\/3945"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media\/1411"}],"wp:attachment":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media?parent=1412"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/categories?post=1412"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/tags?post=1412"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}