Cuidados Paliativos nas Insuficiências de Órgão Avançadas
DOI:
https://doi.org/10.24950/rspmi/51/2017Palavras-chave:
Analgésicos Opioides/uso terapêutico, Cuidados Paliativos, Insuficiência Cardíaca, Insuficiência Hepática, Insuficiência Renal, Insuficiência RespiratóriaResumo
O objetivo dos cuidados paliativos é intervir ativamente no sofrimento. Nas patologias com desfecho menos previsível
como as insuficiências de órgão, esta intervenção nem sempre é executada. Neste sentido, saber identificar os doentes a carecer destes cuidados é primordial. Nesta revisão reúnem- se os principais sintomas segundo a patologia de base assim como as possibilidades terapêuticas e de atuação.
Dada a sobreposição de certos sintomas em doentes em fase avançada, como a dor, dispneia e diarreia, discute-se também a utilidade e a indicação de recorrer à classe farmacológica dos opioides que, evitando a polimedicação, cobre todas estas vertentes. Abordam-se também as particularidades da utilização de opioides nos doentes com insuficiências de órgão.
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Direitos de Autor (c) 2017 Medicina Interna
Este trabalho encontra-se publicado com a Licença Internacional Creative Commons Atribuição 4.0.
Direitos de Autor (c) 2023 Medicina Interna
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