TERAPIA DE NUTRIÇÃO ENTERAL: AVALIAÇÃO DA ROTULAGEM DE PRODUTOS E ADEQUAÇÃO NUTRICIONAL DA DIETA DE PACIENTES HOSPITALIZADOS EM ESTADO CRÍTICO

Abstract

In recent decades, policies have emerged around the world seeking to introduce strategies to help consumers in their purchasing decisions, aiming to create labels that facilitate the interpretation of information for consumer. Nutrition labeling is a very important tool for consumers to obtain information about nutrition and health, facilitating the identification and selection of healthier foods, rich in nutrients and with low energy density by the consumer. RDC No. 21, of May 13, 2015, aims to establish the classification, designation and requirements for composition, quality, safety and labeling of formulas for enteral nutrition. Thus, chapter 1 aimed to carry out a survey of closed system enteral diets sold in the country and comparing them with current legislation. Based on this legislation, the adequacy of 14 vitamins with their respective minimum and maximum reference values were verified. Five vitamins demonstrate values above those established by legislation, namely folic acid, pantothenic acid, biotin, vitamin A and vitamin D. Eight minerals showed values above the recommended values, namely sodium, chromium, iron, magnesium, manganese, calcium, zinc and copper. The data reinforce the importance of inspection by official bodies about the content present in the diet and what is on the label for better information to the consumer and the responsible nutritionist. Chapter 2 was to evaluate protein-calorie targets offered in enteral nutritional therapy exclusively for patients admitted to an intensive care unit (ICU) compared to nutritional prescription. Data collection was performed using a secondary system of complete medical records. In the intentional non-probabilistic sample, patients of both genders, adults (over 18 years of age), admitted to the ICU with different diseases and nutritional needs undergoing exclusive enteral nutrition therapy were included. and who were hospitalized in the ICU for more than 24 hours during the period from January to December 2021. The information collected were volume, calories and proteins prescribed and infused, reasons for suspending ENT or diet interruption. Given the variability and unforeseen events that occur in the ICU during the follow-up of patients using enteral nutritional therapy, this research aimed to evaluate the volume, calories and proteins administered and compare them with the total prescribed and the needs according to the established in the medical records of patients on exclusive use of ENT.