CCS/HUOL - Residência Multiprofissional em Terapia Intensiva Adulto
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Bachelor Thesis Espessura do músculo adutor do polegar e sua associação com os critérios GLIM no paciente crítico(Universidade Federal do Rio Grande do Norte, 2026-01-22) Silva, Isabella Advíncula Campos; Vale, Sancha Helena de Lima; https://orcid.org/0000-0002-0972-1678; http://lattes.cnpq.br/9918303712320354; https://orcid.org/0009-0006-9671-5650; https://lattes.cnpq.br/2491889547490480Bachelor Thesis Quando viver é resistir: adoecimento e contradições perante o mundo do trabalho pós-transplante renal(Universidade Federal do Rio Grande do Norte, 2026-01-29) Costa, Mycaela Herdy de Barros; Silva, Roberto Marinho Alves da; Barbosa, Karla Cristina; Hoffmann, EdlaThis study analyzes the challenges faced by individuals with Chronic Kidney Disease (CKD) in the world of work following kidney transplantation. The field of investigation was limited to individuals who underwent the procedure at the Onofre Lopes University Hospital (HUOL) in Natal/RN, Brazil, in 2024, and who remain under follow-up at the institution. The research emerges from the author’s experience as a resident Social Worker in the Multiprofessional Health Residency Program; her work in the institution's kidney transplant outpatient clinic and ward provided a concrete engagement with the reality of these subjects. This exploratory investigation adopts a mixed-methods (quali-quantitative) approach, grounded in bibliographic and documentary research, alongside semi-structured interviews conducted with kidney transplant recipients. Historical-dialectical materialism was chosen as the theoretical-methodological framework, as it enables an understanding of reality beyond its immediate appearance, unveiling the contradictions inherent in social, political, and economic structures. Contextually, CKD is understood as a serious public health issue in Brazil, showing a strong association with comorbidities such as diabetes mellitus and arterial hypertension in the adult population. Within this framework, the study addresses Renal Replacement Therapy modalities — hemodialysis, peritoneal dialysis, and kidney transplantation —, with particular focus on the post-transplant period, a phase in which many individuals face significant barriers to entering or returning to the labor market. Consequently, this study seeks to understand how these barriers are configured, identifying obstacles arising both from the clinical limitations that persist after transplantation and from the demands of a labor market driven by capitalist logic, which is exclusionary and largely unresponsive to the specific health needs of this population. Ultimately, it constitutes a critical reflection on the contradictions experienced by these subjects.Bachelor Thesis Associação entre os critérios GLIM e ângulo de fase em pacientes críticos(Universidade Federal do Rio Grande do Norte, 2026-01-22) Carneiro, Raíssa Beatriz Silvestre; Vale, Sancha Helena de Lima; https://orcid.org/0000-0002-0972-1678; http://lattes.cnpq.br/9918303712320354; https://orcid.org/0009-0007-0143-6040; https://lattes.cnpq.br/9944248748129982; Costa, Juliana Alves Aguiar da Silva; Costa, Karina Zaira Silva MarinhoDuring critical illness, several physiological alterations occur, among which the intense systemic inflammatory response and the hypercatabolic state stand out, conditions that favor the rapid depletion of muscle mass in critically ill patients. In this context, malnutrition is a frequent condition and is associated with worse clinical outcomes, including increased length of hospital stay, complications, and mortality. In order to standardize the nutritional diagnosis in clinical practice, the Global Leadership Initiative on Malnutrition proposed phenotypic and etiologic criteria for the identification of malnutrition. In parallel, the phase angle (PA), obtained through bioelectrical impedance analysis, has been investigated as an indirect marker of cell membrane integrity and muscle mass quantity and quality, potentially reflecting the nutritional status of hospitalized patients. Thus, the aim of this study was to evaluate the association between phase angle and the diagnosis of malnutrition according to the GLIM criteria in critically ill patients admitted to an intensive care unit. This was a cross-sectional study conducted with adult patients admitted to the ICU who received nutritional support predominantly through enteral or parenteral nutrition therapy. Anthropometric measurements were collected, phase angle was obtained through bioelectrical impedance analysis, and the diagnosis of malnutrition was performed according to the GLIM criteria. A total of 47 patients were evaluated, and a high frequency of malnutrition according to the GLIM criteria was observed, with a predominance of moderate malnutrition (40.5%). However, no significant differences were identified in phase angle values between patients with and without malnutrition (p = 0.106), nor was a statistically significant association observed between phase angle and the diagnostic categories of malnutrition (p = 0.658). These findings suggest that the isolated use of phase angle may present limitations in identifying the nutritional status of critically ill patients at the time of ICU admission, highlighting the need for further studies to better understand the relationship between this marker and nutritional changes throughout the clinical course of these patients.Bachelor Thesis O uso do SAPS-3 como ferramenta de estratificação de risco para declínio funcional na unidade de terapia intensiva: uma coorte retrospectiva(Universidade Federal do Rio Grande do Norte, 2025) Martins, Pedro Henrique Lima; Gomes Neto, Saint-Clair Bernardes; https://orcid.org/0000-0001-5089-0564; http://lattes.cnpq.br/0279959015099616; http://lattes.cnpq.br/1265426628496841; Schon, Caroline Ferreira; https://orcid.org/0000-0002-3864-9812; http://lattes.cnpq.br/8741417840362940; Silva, Silmara de Oliveira; http://lattes.cnpq.br/2356247488696794Introduction: Survival in Intensive Care Units (ICUs) has increased, shifting the focus of care toward the prevention of functional sequelae and post-discharge quality of life. Although severity at admission is a well-established predictor of mortality, its relationship with functional mobility decline among survivors remains underexplored. Objective: To analyze the association between clinical severity at admission, measured by the Simplified Acute Physiology Score 3 (SAPS 3), and the evolution of functional mobility during ICU hospitalization. Methods: A retrospective cohort study including adult patients admitted to an ICU. Functional mobility was assessed using the Johns Hopkins Highest Level of Mobility (JH-HLM) scale at pre-admission and at discharge. The association between severity and mobility variation was evaluated using comparative tests and Spearman correlation. Results: A total of 753 patients were analyzed, with a mortality rate of 7.8%. Among the 694 survivors, despite homogeneous and independent pre-admission functional mobility across groups, discharge outcomes differed. Patients in the highest severity tertile exhibited worse mobility at discharge and greater functional decline compared with those in the lowest severity tertile. A significant negative correlation was observed between SAPS 3 and mobility variation (r = −0.140; p = 0.0002). Conclusion: Clinical severity at admission was significantly associated with worsening functional mobility at ICU discharge. The SAPS 3 score demonstrated utility beyond mortality prediction, serving as an early indicator of risk for functional decline, reinforcing the need for intensified rehabilitation strategies for patients with high severity scores.Bachelor Thesis A competência da psicologia na comunicação de más notícias em unidade de terapia intensiva adulto(Universidade Federal do Rio Grande do Norte, 2026-01-23) Silva, Fernanda Emanuely Oliveira Alves da; Cavalcante, Fernanda Lúcia Nascimento Freire; http://lattes.cnpq.br/7631098123374569Bachelor Thesis Processo de cuidado em nutrição em pacientes críticos: aplicação de instrumento(Universidade Federal do Rio Grande do Norte, 2023-12-15) Silva, Carla Gabriela Fernandes; Lais, Lúcia Leite; Oliveira, Márcia Regina Dantas de; 0000-0002-8199-6262; http://lattes.cnpq.br/0230824873086379; 0000-0002-8061-7048; http://lattes.cnpq.br/7939303011096805; 0000-0002-8324-2907; https://lattes.cnpq.br/2119296799825011; Lopes, Márcia Marília Gomes Dantas; 0000-0002-0011-576X; http://lattes.cnpq.br/0512077912732473; Araújo, Carla Larissa Fernandes Pinheiro; 0000-0001-8395-6275; http://lattes.cnpq.br/9754226672501462Nutritional care for critically ill patients involves many particularities, being essential in clinical management and prognosis, since malnutrition is associated with worse outcomes, which reinforces the importance of continually seeking improvements in the quality of the service provided to these patients. In line with this, there is the Nutrition Care Process (NCP), a systematic method that aims to solve problems (diagnoses) in nutrition and manage the quality of care offered. The NCP is structured in standardized terminologies and consists of the 4 steps that make up nutritional care. Studies have demonstrated benefits of its implementation in clinical practice, however, there is still a lack of studies on its use in Intensive Care Units (ICU). Therefore, the present study aims to apply an instrument based on the PCN in critically ill patients admitted to the ICU of the Hospital Universitário Onofre Lopes (HUOL). To this end, the data collected, according to the individuality of each patient, were applied to a structured instrument in accordance with the steps and terminologies present in the NCP. Quantitatively, the frequency of terminologies used, and the resolution of the diagnoses found were evaluated. 148 NCP cycles were generated, applied from October to November 2023. In this process, of the total of 230 terminologies selected, 134 (58%) were used, with the “Evaluation, reevaluation, monitoring and measurement in nutrition” stage being the most used (68%). Among the diagnoses found, the “Intake” domain demonstrated the highest rate of use and resolution, in which the nutrition diagnosis “Increased nutrient needs (specify):” was the most listed (23%). In general, the resolution analysis showed a rate of 39% of goals achieved and 32% of diagnoses resolved. Regarding implementation, although limitations arose throughout the study, benefits increased as limitations were reduced. However, the application of the NCPin critically ill patients proved to be effective, promoting significant advances for the service and professionals involved. In this way, this study can serve as a model and stimulus for the creation of instruments that assist in the implementation of the NCP, including in the care of critically ill patientsBachelor Thesis A atuação do serviço social na política de saúde em tempos de gestão gerencial : uma análise do trabalho dos/as assistentes sociais no Hospital Universitário Onofre Lopes(Universidade Federal do Rio Grande do Norte, 2025-01-16) Soares, Andreza Hellen da Costa Lopes; Silva, Eliana Andrade da; Cunha, Angely Dias da; http://lattes.cnpq.br/1214105821173334; http://lattes.cnpq.br/2216989230807890; https://lattes.cnpq.br/2910550265735329; Silva, Eliana Andrade da; http://lattes.cnpq.br/2216989230807890; Zacaron, Sabrina Silva; http://lattes.cnpq.br/8216770573908106; Cavalcante, Fernanda Lúcia Nascimento Freire; http://lattes.cnpq.br/7631098123374569Esta produção tem como objetivo analisar os rebatimentos do gerencialismo na intervenção do Serviço Social no Hospital Universitário Onofre Lopes (HUOL) no cenário institucional no biênio 2023-2024. No que diz respeito aos objetivos específicos, esta pesquisa se propõe a : 1) Problematizar a conjuntura neoliberal e a contrarreforma na saúde como determinantes para o modelo de gestão gerencialista implementado pela EBSERH no Hospital Universitário Onofre Lopes (HUOL). 2) Discutir e analisar as requisições institucionais gerenciais expressas no trabalho do serviço social e 3) Identificar as estratégias das profissionais do serviço social frente ao modelo de gestão gerencial privatista em saúde. Este estudo possui caráter qualitativo e irá se utilizar do método histórico crítico dialético. Nesta pesquisa foi realizada ainda uma ampla pesquisa bibliográfica em conjunto da análise documental por meio da consulta de instrumentais e documentos construídos pela própria categoria profissional atuante no hospital universitário. Como resultados principais, este estudo demonstra na concretude, a crescente incorporação da cultura da produtividade no modo de gerenciar o trabalho no Sistema Único de Saúde (SUS). Para o serviço social da instituição as repercussões se apresentam de forma tímida, mas ameaçam a materialização do fazer profissional crítico uma vez que retomam, em partes, aspectos tradicionais da prática profissionalBachelor Thesis Caracterização do óbito e fatores associados em uma unidade de terapia intensiva adulto.(Universidade Federal do Rio Grande do Norte, 2025-01-10) Cunha, Hurana Ketile da; Vidal, Leila Maria Araújo; http://lattes.cnpq.br/6855842106965494; https://orcid.org/0000-0003-1362-1562; http://lattes.cnpq.br/4947354110033022; Araújo, Carla Larissa Fernandes Pinheiro; https://orcid.org/0000-0001-8395-6275; http://lattes.cnpq.br/9754226672501462; Silva, Robson Alves da; http://lattes.cnpq.br/8178121108584363Introduction: Mortality can be defined as the risk or probability that any person in the population has of dying as a result of a certain disease. According to data from the Ministry of Health, in 2022 there were 962,083 thousand hospital deaths in adults over 20 years of age in Brazil. Since the ICU, one of the sectors covered by the hospital scope, is characterized as a place intended for the hospitalization of serious patients, requiring continuous specialized management. The main cause of hospitalization in Brazilian ICUs is cardiovascular diseases, which are also the main cause of mortality. With an average length of hospitalization between 1 and 23 days and mortality rates ranging from 9.6% to 58%. Objective: to evaluate the mortality profile and the factors associated with it in patients admitted to an adult ICU during the years 2021 and 2022. Method: quantitative, descriptive study, with retrospective data evaluation. The search was carried out through a computerized database, organized by the institution's Epidemiological Surveillance Unit, with secondary data collected through the issued Death Certificates. These data were processed through Excel software for grouping and interpretation. Results: During the years 2021 and 2022, respectively, 132 deaths were obtained and a mortality rate of 9.63% in the first year and 123 deaths, with a mortality rate of 9.11% in the second year. The patients were characterized as male in 2021 and female in 2022. With a predominant age range of 56 to 65 years in the two years analyzed. Among the pathologies reported in the DOs analyzed in these two years, COVID-19, hypertension and AMI were obtained in 2021; and in 2022 the predominant number was related to AKI. Conclusion: The present study allows us to observe factors inherent to mortality in the institution analyzed, being a parameter for evaluating demands at state and national level, making us understand how patterns occur in different regions.Bachelor Thesis Uso de dantroleno em casos de sindrome neuroléptica maligna: um protocolo de orientações farmacêuticas(Universidade Federal do Rio Grande do Norte, 2025-01-27) Costa, Artur Vinícius de Lima Montenegro; Araújo, Ivonete Batista de; 0000-0003-3166-1816; http://lattes.cnpq.br/3872552451523411; 0000-0002-0387-4999; http://lattes.cnpq.br/0369626013829881; Moreira, Francisca Sueli Monte; 0000-0001-7069-750X; http://lattes.cnpq.br/5764849324594620; Carvalho, Bruna Santos de; 0009-0002-2156-4166; http://lattes.cnpq.br/5912528596280664Introduction: Neuroleptic Malignant Syndrome (NMS) is a rare and potentially fatal neurological emergency that may be associated with the use of antipsychotic drugs. There is no definitive consensus on the management in suspected or confirmed cases of the syndrome. However, differential diagnoses and evidence-based recommendations from clinical practice guide pharmacological treatment. Dantrolene is an uncommon medication in clinical practice, making it necessary to clarify questions related to its use. Therefore, it is essential to standardize practices carried out by professionals in an institution through the development of protocols. Objective: To develop a protocol for the use of dantrolene in patients diagnosed with or suspected of having Neuroleptic Malignant Syndrome (NMS) that is refractory to conventional treatment. Materials and Methods: This is a methodological study with a qualitative approach, comprising two stages: in the first, a literature review on the topic will be conducted, and in the second stage, the protocol structure will be developed. The study will use the list of standardized medications available on the hospital intranet. From this list, antipsychotics used in the institution will be selected, along with medications aimed at the pharmacological therapy for neuroleptic malignant syndrome. Research sources will include clinical protocols, therapeutic guidelines, international/national guidelines, and indexed articles from the following databases: PubMed, ScienceDirect, Elsevier, PDR, UpToDate, and Lexicomp. The study will be conducted from September 2024 to January 2025, including research published within the last 5 years. Expected Results and Impact: It is expected that the protocol will be made available and validated by the institution and published on the intranet platform Wiki-HUOL, so that all healthcare professionals in the hospital can access the information.Bachelor Thesis Efeito da suplementação de probióticos em pacientes críticos: uma revisão de ensaios clínicos(Universidade Federal do Rio Grande do Norte, 2025-02-06) Anselmo, Marina Gabriely Gomes Barbosa; Lais, Lucia Leite; Amorim, Natalia Carlos Maia; https://orcid.org/0000-0002-6346-0413; Cunha, Thais Alves; Silva, Juliana Aguiar Alves daBachelor Thesis Prevalência e resistência de bactérias prioritárias em saúde pública: uma retrospectiva de um hospital de ensino(Universidade Federal do Rio Grande do Norte, 2025-01-27) Carneiro, Geovanna Oliveira; Araújo, Ivonete Batista de; Araújo, Gabriela Medeiros de; https://orcid.org/0000-0003-3561-6182; http://lattes.cnpq.br/8875898431642393; https://orcid.org/0000-0003-1351-3166; http://lattes.cnpq.br/3872552451523411; https://orcid.org/0009-0004-8867-3468; https://lattes.cnpq.br/3994878932523383; Costa, Juliana Alves Aguiar da Silva; http://lattes.cnpq.br/2185035453088903; Moreira, Francisca Sueli Monte; http://lattes.cnpq.br/5764849324594620Introduction - Antimicrobial resistance (AMR) is a major challenge for global public health in the 21st century. Carbapenem-resistant A. baumannii (CRAB), extended-spectrum β-lactamase-producing Enterobacterales (ESBL-E), carbapenem-resistant Enterobacterales (CRE), carbapenem-resistant P. aeruginosa (CRPA), vancomycin-resistant E. faecium (VRE), and methicillin-resistant S. aureus (MRSA) are among the priority pathogens with public health importance according to the World Health Organization (WHO). Objective - To report the prevalence and resistance pattern of priority bacterial pathogens in public health, particularly those classified as high and critical priority, in a retrospective serie of cultures from patients hospitalized at a teaching hospital between 2019 and 2023. Methodology - This is an observational, descriptive, and retrospective study that aimed to describe the prevalence of high and critical priority bacteria according to the WHO at Onofre Lopes Teaching Hospital (HUOL). Data were accessed through MultiR software, applying a time filter to delimit the analysis period. The study included all bed groups, sample types (blood, urine, soft tissue fragments, and cerebrospinal fluid), and included both community-acquired and hospital-acquired strains. Data were extracted and organized for analysis in Microsoft Excel, and descriptive statistics were performed using SPSS IBM software version 30.0. Positive microbiological culture results were included. Samples with only fungal growth and surveillance samples were excluded. Results and Discussion - Between 2019 and 2023, at HUOL, the most prevalent bacterial species considered public health priorities were ESBL-E, CRPA, and MRSA. CRAB and CRPA were primarily isolated from respiratory samples; ESBL-E, CRE, and VRE from urine; and MRSA from blood cultures. For A. baumannii, the global average carbapenem resistance was 17.5%, and multidrug resistance was 46.9%. Among Enterobacterales, carbapenem resistance was 11.2% in 2019, with ESBL-producing strains accounting for 25.2%; by 2022, these rates had risen to nearly 21% for CRE and 32% for ESBL-E. For P. aeruginosa, global carbapenem resistance was 28.8%, with multidrug resistance at 23.7%. E. faecium showed vancomycin resistance in nearly 55% of isolates. Among S. aureus, oxacillin resistance was present in 31.0% of isolates. Conclusion - The data collected at HUOL reveal that ESBL-E, CRE, CRPA, and MRSA are more prevalent in critical care unit and among immunosuppressed patients, such as those in Oncology/Hematology and Renal Transplant units. Gram-negative bacilli such as ESBL-E, CRE, CRAB, and CRPA are the main concerns for Infection Control and Hospital Epidemiology (ICHE) teams in developing countries, due to complications arising from increasing resistanceBachelor Thesis Perfil epidemiológico e funcional dos candidatos à cirurgia bariátrica de um hospital universitário(Universidade Federal do Rio Grande do Norte, 2024-11-25) Nogueira, Clebeson de Azevêdo; Cruz, Maria do Socorro Luna; Farias, Catharinne Angélica Carvalho de; https://orcid.org/0000-0002-4473-3041; http://lattes.cnpq.br/8874874519790126; https://orcid.org/0000-0003-1604-4326; http://lattes.cnpq.br/1347235539922256; https://orcid.org/0000-0001-8166-5378; https://wwws.cnpq.br/cvlattesweb/PKG_MENU.menu?f_cod=D0AFFC8BADEE61E2F6DC390010093A92#; Oliveira, Palomma Russelly Saldanha de Araújo; https://orcid.org/0000-0003-1761-8328; http://lattes.cnpq.br/3587016652365904; Godoy, Cynthia Meira de Almeida; https://orcid.org/0000-0002-3127-4544; http://lattes.cnpq.br/8601056832244722Bachelor Thesis Construção de Bundle para prevenção da injúria renal aguda em pacientes críticos(Universidade Federal do Rio Grande do Norte, 2023-12-06) Rodrigues, Mayara Cavalcante; Rocha, Cintia Capistrano Teixeira; https://orcid.org/0000-0002-3755-8978; http://lattes.cnpq.br/6124157411361389; https://orcid.org/0000-0003-4979-318X; http://lattes.cnpq.br/7295568457983277; Lima Neto, Alcides Viana da; https://orcid.org/0000-0001-6191-9465; http://lattes.cnpq.br/1755493864013345; Oliveira, Luana Cristina Lins de Medeiros; http://lattes.cnpq.br/8550362587549379Acute kidney injury is described in the literature as a deterioration in kidney function due to multifactorial causes, which results in a decrease in glomerular filtration capacity and can develop suddenly and reversibly. Despite advances in the treatment of this syndrome, there is still a high incidence of this condition in the hospital environment, especially in the context of the intensive care unit. Thus, the complications resulting from this condition contribute substantially to an increase in hospitalization time, treatment costs and the risk of morbidity and mortality. However, despite its deleterious clinical repercussions, it should be reiterated that it is a reversible condition, provided there is timely and tangible intervention. In this scenario, nurses play a strategic role in the early identification of clinical signs and symptoms that warn of a worsening condition in critically ill patients. The aim of this study was to develop a bundle for the prevention of acute kidney injury in critically ill patients, applied by nurses. The study was carried out in two stages: in the first, a scoping review was carried out on nursing interventions and protective factors, and in the second, the prevention bundle was constructed based on the findings in the scientific literature. The bundle is a positive gain for nursing, as it standardizes and guides the conduct that should be adopted. Based on this package of measures, it is hoped that it will be possible to minimize the negative evolution of kidney health, so as to avoid the use of dialysis therapies or even kidney transplantation, which could lead to further complications and limitations in the patient's life. To this end, the bundle is structured around essential points described in the literature, such as hydroelectrolyte and acid-base regulation, nutritional aspects and adjustment and/or replacement of nephrotoxic drugs. Therefore, it is hoped that with the bundle, it will be possible to halt the progression of acute renal dysfunction, given the impasse that this syndrome represents for public health, due to the serious social, pathophysiological, psychological and socioeconomic consequences.Bachelor Thesis Processo de cuidado em nutrição em pacientes críticios: criação de instrumento(Universidade Federal do Rio Grande do Norte, 2023-12-15) Oliveira, Amanda Freitas de; Lais, Lúcia Leite; Lopes, Márcia Marília Gomes Dantas; Araújo, Carla Larissa Fernandes PinheiroIntroduction: Nutritional care in critically ill patients involves many particularities, being essential in clinical management and prognosis. This reinforces the importance of continually seeking improvements in the quality of service provided to these patients. In this context, the Nutrition Care Process (NCP) is a systematic method that aims to resolve nutrition diagnoses and manage the quality of nutrition care offered. Studies have demonstrated benefits of its implementation in clinical practice. However, their application in critical patients is still scarce. Objective: To create a tool for application of NCP in critically ill patients admitted to the Intensive Care Unit (ICU) of the University Hospital Onofre Lopes (HUOL). Methodology: This work was submitted and approved by the HUOL Research Ethics Committee. This is a methodological study on the creation of an instrument, which involved several steps such as holding workshops on the topic, selecting the NCP terminologies (NCPT) and preparing the instrument itself. In all these stages, there was the collaboration of nutritionists experienced in assisting critically ill patients and the existing registration forms from the HUOL nutrition sector were considered. Results: Workshops about NCP were held in 4 phases. In the end, 230 NCPT essential in the care of critically ill patients were selected. A structured and systematized instrument was developed using Microsoft Office Excel® 2016 spreadsheets, in which adata distribution must occur in a linear and continuous manner, organized into three tabs. After inserting all data into the tool, the PCN documentation is automatically generated in ADIMA format (acronym for "Assessment", "Diagnosis", "Intervention", "Monitoring" and "Measurement"). Conclusion: New knowledge about the PCN was built through the workshops held. The selection of NCPT aimed at critical patients will optimize the application of this process and will serve as a comparator for other similar services that will implement the NCP. The tool created will facilitate the implementation of the NCP in the ICU of the HUOL and will allow greater nutrition care documentation in the electronic medical record.Bachelor Thesis A família nos cuidados paliativos do paciente com demência: revisão integrativa(Universidade Federal do Rio Grande do Norte, 2023-12-12) Pereira, Brenda Caroline Belforte; Moreira, Simone da Nobrega Tomaz; https://orcid.org/0000-0002-7820-130X; http://lattes.cnpq.br/3642294168997314; https://orcid.org/0000-0003-2541-8633; https://lattes.cnpq.br/2420239896686621; Farias, Catharinne Angelica Carvalho de; https://orcid.org/0000-0002-4473-3041; http://lattes.cnpq.br/8874874519790126; Lira, Maíra Melo do Vale; https://orcid.org/0000-0003-4817-0503; http://lattes.cnpq.br/6946045284893714Bachelor Thesis Protocolo de mobilização precoce para pacientes críticos(Universidade Federal do Rio Grande do Norte, 2023-12-19) Costa, Lidiane Delgado Oliveira da; Cruz, Maria do Socorro Luna; Farias, Catharinne Angélica Carvalho de; https://orcid.org/0000-0002-4473-3041; http://lattes.cnpq.br/8874874519790126; https://orcid.org/0000-0003-1604-4326; http://lattes.cnpq.br/1347235539922256; https://lattes.cnpq.br/6785869737855637; Araújo, Carla Larissa Fernandes Pinheiro; https://orcid.org/0000-0001-8395-6275; http://lattes.cnpq.br/9754226672501462; Schon, Caroline Ferreira; https://orcid.org/0000-0002-3864-9812; http://lattes.cnpq.br/8741417840362940Critical illness usually requires invasive and high-tech interventions, usually in the ICU. In this context, the emergence of muscle weakness acquired in the ICU is common, which has negative consequences for the patient. In this reality, early mobilization appears as an alternative to combat these negative effects. This work aims to present a proposal for an early mobilization protocol for the university hospital. This is an interactive literature review carried out in the following databases: SciELO, MEDLINE, LILCAS, Scopus and Web of Science with the descriptors: “ICU”, “early mobilization” and “muscle weakness”. There were 15 articles selected based on the inclusion and exclusion criteria. From them, an early mobilization protocol and safety criteria for its initiation and interruption were formulated. It is suggested that testing and validation research be carried out, in addition to education and training initiatives for the multidisciplinary team to implement the protocolBachelor Thesis Protocolo para o uso de antimicrobianos injetáveis em uma Unidade de Terapia Intensiva adulto(Universidade Federal do Rio Grande do Norte, 2023-12-05) Lira, Conceição Beatriz Costa de; Araújo, Ivonete Batista de; Fonseca, Gabriela Diniz; Lima Neto, Alcides Viana deBachelor Thesis Protocolo para prevenção e controle de extravasamento e infiltrações de administrações intravenosas não oncológicas(Universidade Federal do Rio Grande do Norte, 2024-01-08) Menezes, Danielle Lima Bezerra de; Araújo, Ivonete Batista de; http://lattes.cnpq.br/3872552451523411; Araújo, Ivonete Batista de; Rocha, Cintia Capistrano Teixeira; Fonseca, Gabriela DinizIntroduction – Extravasation and infiltration are adverse events that occur in patients requiring intravenous drug administration known as vesicant ant irritant, respectively. Depending on the degree of tissue damage, these injuries can increase morbidity, cost, and length of hospital internment. Recognition of high-risk drugs, the main signs and symptoms and treatments available remain the standard of care for the prevention of these injuries. Objective – To develop a protocol that provides guidance and conduct to be applied in the event of extravasation or infiltration of non-oncological injectable drugs/solutions. Material and methods – A literature search of MEDLINE/PubMed, UpToDate®, Trissel Lexicomp® from January to June 2023 using the following terms: extravasation, infiltration, irritant and vesicant. The protocol will contain wich drugs/solutions are considered irritants or vesicants, ATC code, standardized institution’s available presentations, injury mechanism, type of treatments, and a flowchart of immediate conducts. Results – A protocol was prepared containing quick reference materials in form of tables and flowchart in which the medicines currently standardized in HUOL are classified as vesicants or irritants containing all the information mentioned above and the recommended immediate actions, respectively. Final considerations – The protocol was prepared concisely with updated information available in the literature consulted in order to provide quick reference material, as well as an instrument that, after validation, will promote the standardization of conduct in the event of an extravasation or infiltration and thus contribute to increasingly effective and safe patient care.Bachelor Thesis Protocolo para orientações sobre o uso de medicamentos vasoativos injetáveis em unidade de terapia intensiva adulto(Universidade Federal do Rio Grande do Norte, 2024-01-08) Oliveira, Lenita Ellen; Araújo, Ivonete Batista de; http://lattes.cnpq.br/3872552451523411; Lima Neto, Alcides Viana de; Fonseca, Gabriela DinizIntroduction - Resolution of the Collegiate Board (RDC) No 7, of February 24, 2010, defines the Intensive Care Unit (ICU) as the critical area intended for the hospitalization of seriously ill patients, who require specialized professional attention on an ongoing basis, specific materials and technologies necessary for diagnosis, monitoring and therapy. In this context, vasopressor and inotropic medications are the basis of supportive therapy in ICU patients. They are considered potentially dangerous as they pose a high risk of causing serious or even fatal harm to patients when used incorrectly. Objective - To develop a quick access protocol with guidance on vasoactive medications to be consulted by the interprofessional team forming part of the Intensive Care Unit. Material and Methods - This work involves the elaboration of a protocol with the aim of offering guidance on vasoactive medications to be consulted by the interprofessional team that is part of the Adult Intensive Care Unit of the Hospital Universitário Onofre Lopes, considering publications from the last 5 years, in English, Spanish and Portuguese, found in the technical notes of the manufacturers of the medicines involved and in the main databases described below, using the following descriptors: dilution, intravenous administration, cardiovascular drugs, routes of drug administration, drug stability and incompatibility of medicines. Referenced databases: Infostab/Stabilis; UpToDate; Trissel, Lawrence A.Handbook on Injectable Drugs; MEDLINE (Medical Literature Analysis and Retrieval System Online) - PubMed; SciELO (Scientific Electronic Library Online); Capes and Elsevier/Scopus/Science Journal Portal. Results - The protocol and table are offered to be consulted quickly, in situations that require greater urgency or speed of resolution and in the unavailability of the clinical pharmacist. Results and discussion - The Protocol consists of AGHU and ATC code, Brazilian Common Denomination (DCB), standardized presentations in the institution, manufacturers, routes of administration, reconstitution (diluents and corresponding volume), dilution (diluents and volume), including minimum volume for patients with fluid restriction, maximum concentration, maximum infusion rate and/or infusion time and pertinent observations. In addition, a summary table for quick consultation of drug incompatibilities. Final Considerations – The protocol awaits analysis by the head of the hospital pharmacy sector, after which it will be sent for validation by the Quality Management and Health Surveillance sector and subsequently approved by the Health Care Management. It will be made available for consultation on Wiki- Huol, laminated and available to remain in the adult ICU for immediate access.Bachelor Thesis Indicadores epidemiológicos e fatores de risco de infecções que acometem pacientes críticos da UTI-A de um hospital universitário(Universidade Federal do Rio Grande do Norte, 2022-12-23) Tiago, Pamella Rebeca Fernandes; Araújo, Ivonete Batista de; Medeiros, Thaíse Verônica dos Santos; http://lattes.cnpq.br/8206093736205878; 0000-0003-1351-3166; http://lattes.cnpq.br/3872552451523411; 0000-0002-2901-1198; http://lattes.cnpq.br/8240139427839701; Araújo, Ivonete Batista de; 0000-0003-1351-3166; http://lattes.cnpq.br/3872552451523411; Moura Filho, Severino Alves de; http://lattes.cnpq.br/1578138965645790; Leite, Jose Eugênio Lopes; 0000-0002-8846-0882; http://lattes.cnpq.br/1391479664036773Introduction – The high complexity of patients hospitalized in Intensive Care Units promotes greater exposure of these individuals to the risk of infections, as they are dependent on intensive life support, undergoing various invasive procedures, use of immunosuppressants, antibiotics and often exposed to environments potentially contaminated by multiresistant microorganisms. Objective – Know the epidemiological indicators of infections in patients in an adult intensive care unit (ICU -A) Methodology – Observational, descriptive and retrospective study that was collectes in November 2022, at the University Hospital Onofre Lopes, in the Adult Intensive Care Unit, incluing patients aged 18 years or older. The indicators used were the rates: overall infection, by side of infection, by site of infection and by procedure, and by procedure, and risk factors, which werw calculated using an Excel spreadsheet. Results and Discussion – From the data collected, the epidemiological profile defined according to sex was obtained, showing a prevalence og 58,6% of the male gender, average hospitalization time os 35 days, of comorbities, with systemic arterial hupertension (SAH) being the one that was more repeated among the patients analyzed (81,33%), the procedures performed and the suggestive relationship between them and the infectious sites found. Demonstrating, therefore, an insinuanting link between invasive processes, such as central catheter puncture and the involvement of bloodstream infections. This fact may be associated with the critical needs of intensive care patients being linked to invasive accesses as an important need in clinical management, the which allows for an increase in the number of entry points for micoorganisms, possibly resulting in systemic blood infections. Final Thoughts – The study traces the epidemiological profile pf ICU-A and thus shows the existence of risk factors such as age, length of stay, presence of comorbidities, invasive procedures, associated whit the development of infections in the unit. Thus, the date support the creation of clinical management protocols based on scientific evidence.