{"id":14309,"date":"2023-10-18T16:42:17","date_gmt":"2023-10-18T14:42:17","guid":{"rendered":"https:\/\/andreaskalcker.com\/protocolos-cds\/protocolo-y\/"},"modified":"2025-04-23T18:02:51","modified_gmt":"2025-04-23T16:02:51","slug":"protocolo-y","status":"publish","type":"page","link":"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-y\/","title":{"rendered":"Protocolo Y"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"14309\" class=\"elementor elementor-14309 elementor-3761\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2ba56b0 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"2ba56b0\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;background_motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;background_motion_fx_motion_fx_mouse&quot;:&quot;yes&quot;,&quot;background_motion_fx_mouseTrack_effect&quot;:&quot;yes&quot;,&quot;background_motion_fx_devices&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;],&quot;background_motion_fx_mouseTrack_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:1,&quot;sizes&quot;:[]}}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4dca804a\" data-id=\"4dca804a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7ac20e12 elementor-widget elementor-widget-heading\" data-id=\"7ac20e12\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">___ INJE\u00c7\u00c3O CDI ___<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-99e3261 elementor-widget elementor-widget-heading\" data-id=\"99e3261\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">S\u00d3 PARA M\u00c9DICOS<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-46aa8f9c elementor-widget elementor-widget-heading\" data-id=\"46aa8f9c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Protocolo Y<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4ad0ddd7 elementor-hidden-tablet elementor-hidden-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"4ad0ddd7\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5cadc0a3\" data-id=\"5cadc0a3\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-233e5618 elementor-widget__width-auto elementor-widget elementor-widget-heading\" data-id=\"233e5618\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Partilhar<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-74d34a3e elementor-share-buttons--skin-framed elementor-grid-mobile-2 elementor-share-buttons--align-center elementor-share-buttons--color-custom elementor-widget__width-auto elementor-share-buttons--view-icon-text elementor-share-buttons--shape-square elementor-grid-0 elementor-widget elementor-widget-share-buttons\" data-id=\"74d34a3e\" data-element_type=\"widget\" data-widget_type=\"share-buttons.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-grid\" role=\"list\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t\t<div class=\"elementor-share-btn elementor-share-btn_facebook\" role=\"button\" tabindex=\"0\" aria-label=\"Share on facebook\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__icon\">\n\t\t\t\t\t\t\t\t<svg class=\"e-font-icon-svg e-fab-facebook\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M504 256C504 119 393 8 256 8S8 119 8 256c0 123.78 90.69 226.38 209.25 245V327.69h-63V256h63v-54.64c0-62.15 37-96.48 93.67-96.48 27.14 0 55.52 4.84 55.52 4.84v61h-31.28c-30.8 0-40.41 19.12-40.41 38.73V256h68.78l-11 71.69h-57.78V501C413.31 482.38 504 379.78 504 256z\"><\/path><\/svg>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-share-btn__text\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__title\">\n\t\t\t\t\t\t\t\t\t\tFacebook\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t\t<div class=\"elementor-share-btn elementor-share-btn_twitter\" role=\"button\" tabindex=\"0\" aria-label=\"Share on twitter\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__icon\">\n\t\t\t\t\t\t\t\t<svg class=\"e-font-icon-svg e-fab-twitter\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M459.37 151.716c.325 4.548.325 9.097.325 13.645 0 138.72-105.583 298.558-298.558 298.558-59.452 0-114.68-17.219-161.137-47.106 8.447.974 16.568 1.299 25.34 1.299 49.055 0 94.213-16.568 130.274-44.832-46.132-.975-84.792-31.188-98.112-72.772 6.498.974 12.995 1.624 19.818 1.624 9.421 0 18.843-1.3 27.614-3.573-48.081-9.747-84.143-51.98-84.143-102.985v-1.299c13.969 7.797 30.214 12.67 47.431 13.319-28.264-18.843-46.781-51.005-46.781-87.391 0-19.492 5.197-37.36 14.294-52.954 51.655 63.675 129.3 105.258 216.365 109.807-1.624-7.797-2.599-15.918-2.599-24.04 0-57.828 46.782-104.934 104.934-104.934 30.213 0 57.502 12.67 76.67 33.137 23.715-4.548 46.456-13.32 66.599-25.34-7.798 24.366-24.366 44.833-46.132 57.827 21.117-2.273 41.584-8.122 60.426-16.243-14.292 20.791-32.161 39.308-52.628 54.253z\"><\/path><\/svg>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-share-btn__text\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__title\">\n\t\t\t\t\t\t\t\t\t\tTwitter\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t\t<div class=\"elementor-share-btn elementor-share-btn_linkedin\" role=\"button\" tabindex=\"0\" aria-label=\"Share on linkedin\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__icon\">\n\t\t\t\t\t\t\t\t<svg class=\"e-font-icon-svg e-fab-linkedin\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 32H31.9C14.3 32 0 46.5 0 64.3v383.4C0 465.5 14.3 480 31.9 480H416c17.6 0 32-14.5 32-32.3V64.3c0-17.8-14.4-32.3-32-32.3zM135.4 416H69V202.2h66.5V416zm-33.2-243c-21.3 0-38.5-17.3-38.5-38.5S80.9 96 102.2 96c21.2 0 38.5 17.3 38.5 38.5 0 21.3-17.2 38.5-38.5 38.5zm282.1 243h-66.4V312c0-24.8-.5-56.7-34.5-56.7-34.6 0-39.9 27-39.9 54.9V416h-66.4V202.2h63.7v29.2h.9c8.9-16.8 30.6-34.5 62.9-34.5 67.2 0 79.7 44.3 79.7 101.9V416z\"><\/path><\/svg>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-share-btn__text\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__title\">\n\t\t\t\t\t\t\t\t\t\tLinkedIn\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t\t<div class=\"elementor-share-btn elementor-share-btn_telegram\" role=\"button\" tabindex=\"0\" aria-label=\"Share on telegram\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__icon\">\n\t\t\t\t\t\t\t\t<svg class=\"e-font-icon-svg e-fab-telegram\" viewBox=\"0 0 496 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M248 8C111 8 0 119 0 256s111 248 248 248 248-111 248-248S385 8 248 8zm121.8 169.9l-40.7 191.8c-3 13.6-11.1 16.9-22.4 10.5l-62-45.7-29.9 28.8c-3.3 3.3-6.1 6.1-12.5 6.1l4.4-63.1 114.9-103.8c5-4.4-1.1-6.9-7.7-2.5l-142 89.4-61.2-19.1c-13.3-4.2-13.6-13.3 2.8-19.7l239.1-92.2c11.1-4 20.8 2.7 17.2 19.5z\"><\/path><\/svg>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-share-btn__text\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__title\">\n\t\t\t\t\t\t\t\t\t\tTelegram\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t\t<div class=\"elementor-share-btn elementor-share-btn_whatsapp\" role=\"button\" tabindex=\"0\" aria-label=\"Share on whatsapp\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__icon\">\n\t\t\t\t\t\t\t\t<svg class=\"e-font-icon-svg e-fab-whatsapp\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M380.9 97.1C339 55.1 283.2 32 223.9 32c-122.4 0-222 99.6-222 222 0 39.1 10.2 77.3 29.6 111L0 480l117.7-30.9c32.4 17.7 68.9 27 106.1 27h.1c122.3 0 224.1-99.6 224.1-222 0-59.3-25.2-115-67.1-157zm-157 341.6c-33.2 0-65.7-8.9-94-25.7l-6.7-4-69.8 18.3L72 359.2l-4.4-7c-18.5-29.4-28.2-63.3-28.2-98.2 0-101.7 82.8-184.5 184.6-184.5 49.3 0 95.6 19.2 130.4 54.1 34.8 34.9 56.2 81.2 56.1 130.5 0 101.8-84.9 184.6-186.6 184.6zm101.2-138.2c-5.5-2.8-32.8-16.2-37.9-18-5.1-1.9-8.8-2.8-12.5 2.8-3.7 5.6-14.3 18-17.6 21.8-3.2 3.7-6.5 4.2-12 1.4-32.6-16.3-54-29.1-75.5-66-5.7-9.8 5.7-9.1 16.3-30.3 1.8-3.7.9-6.9-.5-9.7-1.4-2.8-12.5-30.1-17.1-41.2-4.5-10.8-9.1-9.3-12.5-9.5-3.2-.2-6.9-.2-10.6-.2-3.7 0-9.7 1.4-14.8 6.9-5.1 5.6-19.4 19-19.4 46.3 0 27.3 19.9 53.7 22.6 57.4 2.8 3.7 39.1 59.7 94.8 83.8 35.2 15.2 49 16.5 66.6 13.9 10.7-1.6 32.8-13.4 37.4-26.4 4.6-13 4.6-24.1 3.2-26.4-1.3-2.5-5-3.9-10.5-6.6z\"><\/path><\/svg>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-share-btn__text\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__title\">\n\t\t\t\t\t\t\t\t\t\tWhatsApp\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t\t<div class=\"elementor-share-btn elementor-share-btn_email\" role=\"button\" tabindex=\"0\" aria-label=\"Share on email\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__icon\">\n\t\t\t\t\t\t\t\t<svg class=\"e-font-icon-svg e-fas-envelope\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M502.3 190.8c3.9-3.1 9.7-.2 9.7 4.7V400c0 26.5-21.5 48-48 48H48c-26.5 0-48-21.5-48-48V195.6c0-5 5.7-7.8 9.7-4.7 22.4 17.4 52.1 39.5 154.1 113.6 21.1 15.4 56.7 47.8 92.2 47.6 35.7.3 72-32.8 92.3-47.6 102-74.1 131.6-96.3 154-113.7zM256 320c23.2.4 56.6-29.2 73.4-41.4 132.7-96.3 142.8-104.7 173.4-128.7 5.8-4.5 9.2-11.5 9.2-18.9v-19c0-26.5-21.5-48-48-48H48C21.5 64 0 85.5 0 112v19c0 7.4 3.4 14.3 9.2 18.9 30.6 23.9 40.7 32.4 173.4 128.7 16.8 12.2 50.2 41.8 73.4 41.4z\"><\/path><\/svg>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-share-btn__text\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__title\">\n\t\t\t\t\t\t\t\t\t\tEmail\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3ae66aeb elementor-reverse-tablet elementor-reverse-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"3ae66aeb\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-wide\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-65b502f6\" data-id=\"65b502f6\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-21421b1 elementor-widget elementor-widget-text-editor\" data-id=\"21421b1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Protocolo a ser disponibilizado em breve.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-506e3bb elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-mobile elementor-widget elementor-widget-text-editor\" data-id=\"506e3bb\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>O protocolo Y, tamb\u00e9m conhecido como protocolo de inje\u00e7\u00e3o CDI, \u00e9 um tratamento intravenoso com di\u00f3xido de cloro. Esta t\u00e9cnica \u00e9 estritamente reservada aos profissionais m\u00e9dicos e deve ser realizada com o consentimento do paciente, em conformidade com o princ\u00edpio 37 da Declara\u00e7\u00e3o de Hels\u00ednquia (AMM). O principal objetivo deste protocolo \u00e9 abordar condi\u00e7\u00f5es agudas como a hipoxia, a s\u00e9psis e as rea\u00e7\u00f5es histam\u00ednicas.<br><span style=\"color: var( --e-global-color-3a0c7dc ); background-color: var(--base-3);\"><br>As instru\u00e7\u00f5es relativas ao Protocolo Y s\u00e3o apresentadas em pormenor a seguir:<br><\/span><span style=\"color: var( --e-global-color-3a0c7dc ); background-color: var(--base-3);\"><br><b>Inje\u00e7\u00e3o Subcut\u00e2nea (Uso Localizado):<\/b><br><\/span><span style=\"color: var( --e-global-color-3a0c7dc ); background-color: var(--base-3);\"><br>Prepara\u00e7\u00e3o: 1 ml de CDS a 3000 ppm em 100 ml de soro fisiol\u00f3gico NaCl 0,9%.<\/span><\/p>\n<p>Para problemas locais, como infe\u00e7\u00f5es numa \u00e1rea espec\u00edfica, pode ser utilizada uma inje\u00e7\u00e3o subcut\u00e2nea de p\u00e1pulas.<br><span style=\"color: var( --e-global-color-3a0c7dc ); background-color: var(--base-3);\"><br>Injetar 3 a 5 ml de CDI com uma concentra\u00e7\u00e3o de 30-50 ppm&nbsp; e um pH de 7,6 perto da \u00e1rea afetada. Esta abordagem permite que o di\u00f3xido de cloro seja eficazmente distribu\u00eddo na \u00e1rea afetada.<br><\/span><span style=\"color: var( --e-global-color-3a0c7dc ); background-color: var(--base-3);\"><br>Se necess\u00e1rio, pode repetir-se a inje\u00e7\u00e3o.<\/span><\/p>\n<p><span style=\"color: var( --e-global-color-3a0c7dc ); background-color: var(--base-3);\"><br><\/span><\/p>\n<p><\/p>\n<p><b>Inyecci\u00f3n Intravenosa:<\/b><\/p>\n<p><br><\/p>\n<p>\u00c9 usada para tratar doen\u00e7as s\u00e9rias e sist\u00e9micas.<\/p>\n<p><\/p>\n<p>Antes do tratamento intravenoso, o doente deve ter seguido um protocolo oral ou retal pelo menos 7 dias antes (a menos que se trate de um caso agudo).<\/p>\n<p><\/p>\n<p>Colocar uma via perif\u00e9rica com um Abbocath perme\u00e1vel ( calibre 18 ou 20) e mudar de bra\u00e7o em cada infus\u00e3o.<br><span style=\"color: var( --e-global-color-3a0c7dc ); background-color: var(--base-3);\"><br>Efetuar a pun\u00e7\u00e3o venosa com cuidado para evitar hematomas.<\/span><\/p>\n<p><\/p>\n<p>Opcionalmente, pode ser efectuada uma gasometria venosa antes e depois do procedimento para avaliar os par\u00e2metros de pH,&nbsp;pCO<span style=\"font-size: 18pt; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; vertical-align: baseline; white-space-collapse: preserve;\"><span style=\"font-size: 0.6em; vertical-align: sub;\">2<\/span><\/span>,&nbsp;pO<span style=\"font-size: 18pt; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; vertical-align: baseline; white-space-collapse: preserve;\"><span style=\"font-size: 0.6em; vertical-align: sub;\">2<\/span><\/span>, BEecf, LAC e CREA do doente e para determinar a efic\u00e1cia da dose.<\/p>\n<p><br><\/p>\n<p><b>N\u00e3o se usa soro com lactato. N\u00e3o misturar ou utilizar vitamina C durante o tratamento.<\/b><br><span style=\"color: var( --e-global-color-3a0c7dc ); background-color: var(--base-3);\"><br><b>Prepara\u00e7\u00e3o:<\/b><\/span><\/p>\n<p><span style=\"color: var( --e-global-color-3a0c7dc ); background-color: var(--base-3);\">A dose padr\u00e3o \u00e9 de 5 ml de CDE (Di\u00f3xido de Cloro Eletrol\u00edtico a 3000 ppm) em 500 ml de soro fisiol\u00f3gico, mas a quantidade pode ser ajustada de acordo com as necessidades do doente.<br><\/span><span style=\"color: var( --e-global-color-3a0c7dc ); background-color: var(--base-3);\"><br>O pH da bolsa de infus\u00e3o deve ser preferencialmente de pH 7,6 e pode ser tamponado com 1-2 ml de solu\u00e7\u00e3o de bicarbonato a 8% (HCO<\/span><span id=\"docs-internal-guid-b21cbf83-7fff-503c-54a3-3390d6a36288\"><span style=\"font-size: 18pt; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; vertical-align: baseline; white-space-collapse: preserve;\"><span style=\"font-size: 0.6em; vertical-align: sub;\">3<\/span><\/span><\/span><span style=\"color: var( --e-global-color-3a0c7dc ); background-color: var(--base-3);\">) at\u00e9 atingir o pH necess\u00e1rio.<\/span><\/p>\n<p><\/p>\n<p>A hidrata\u00e7\u00e3o oxigenante com CDI deve ser administrada durante um per\u00edodo de 3 a 6 horas e o conte\u00fado do saco deve estar \u00e0 temperatura ambiente e protegido da luz solar direta. Em caso de ardor, reduzir a velocidade do gotejamento.<br><span style=\"color: var( --e-global-color-3a0c7dc ); background-color: var(--base-3);\"><br>Nos doentes em estado cr\u00edtico ou entubados, pode ser administrada uma perfus\u00e3o cont\u00ednua a um ritmo de 30-60 gotas por minuto com 10-15 ml de CDI (3000 ppm) num saco de 500 ml de soro fisiol\u00f3gico NaCl (0,9%). Adicionam-se 2,5 ml de Proca\u00edna ou Lidoca\u00edna ao saco de infus\u00e3o para evitar o ardor venoso. Em caso de ardor, reduzir a velocidade do gotejamento. Em casos cr\u00edticos que exijam doses mais elevadas, \u00e9 utilizada sub-clavicularmente.<br><\/span><span style=\"color: var( --e-global-color-3a0c7dc ); background-color: var(--base-3);\"><br>Variar o local de aplica\u00e7\u00e3o para evitar irrita\u00e7\u00f5es ou ardor.<\/span><\/p>\n<p><span style=\"color: var( --e-global-color-3a0c7dc ); background-color: var(--base-3);\"><b><br><\/b><\/span><\/p>\n<p><\/p>\n<p><b>Utiliza\u00e7\u00e3o para fins cir\u00fargicos:<\/b><\/p>\n<p><b><br><\/b><\/p>\n<p><\/p>\n<p>Desinfe\u00e7\u00e3o de feridas, preven\u00e7\u00e3o de ader\u00eancias, cirurgia oncol\u00f3gica e osteomielite: \u00c9 utilizada uma solu\u00e7\u00e3o de 300-400 ppm em soro fisiol\u00f3gico NaCl (0,9%) nas \u00e1reas necess\u00e1rias.<br><span style=\"color: var( --e-global-color-3a0c7dc ); background-color: var(--base-3);\"><br>Parar a hemorragia sem coagula\u00e7\u00e3o: Utiliza-se uma solu\u00e7\u00e3o de 500-1000 ppm aplicando press\u00e3o com uma gaze saturada&nbsp; em CDS sobre a zona durante meio minuto. Esta concentra\u00e7\u00e3o provoca um vasoespasmo sem coagula\u00e7\u00e3o ou poss\u00edvel infe\u00e7\u00e3o e permite a continua\u00e7\u00e3o da cirurgia.<br><\/span><span style=\"color: var( --e-global-color-3a0c7dc ); background-color: var(--base-3);\"><br>C: Queimaduras graves:&nbsp; Utiliza-se um spray com 1000-3000 ppm de CDS diretamente, o que causa al\u00edvio e evita a continua\u00e7\u00e3o da infe\u00e7\u00e3o. Se poss\u00edvel, acrescenta-se o protocolo C25.<br><\/span><span style=\"color: var( --e-global-color-3a0c7dc ); background-color: var(--base-3);\"><br>\u00c9 importante notar que este protocolo \u00e9 uma t\u00e9cnica m\u00e9dica avan\u00e7ada e s\u00f3 deve ser realizado por profissionais de sa\u00fade experientes e pacientes que tenham dado o seu consentimento. Al\u00e9m disso, as doses e concentra\u00e7\u00f5es devem ser determinadas individualmente para cada doente, de acordo com as suas necessidades espec\u00edficas.<\/span><\/p>\n<p><span style=\"color: var( --e-global-color-3a0c7dc ); background-color: var(--base-3);\"><br><\/span><\/p>\n<p><span style=\"color: var( --e-global-color-3a0c7dc ); background-color: var(--base-3);\"><b>N\u00e3o utilizar por via intramuscular.<\/b><br><\/span><span style=\"color: var( --e-global-color-3a0c7dc ); background-color: var(--base-3);\"><br>Para mais informa\u00e7\u00f5es profissionais, consultar os cursos em Kalcker Institute.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-446d85d7\" data-id=\"446d85d7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2b3d9803 elementor-widget elementor-widget-heading\" data-id=\"2b3d9803\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Protocolos CDS<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4ef4214 elementor-icon-list--layout-inline elementor-align-left lista elementor-list-item-link-full_width elementor-widget elementor-widget-global elementor-global-15664 elementor-widget-icon-list\" data-id=\"4ef4214\" data-element_type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items elementor-inline-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-a\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">A<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-b\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">B<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-c\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">C<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-d\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">D<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-e\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">E<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-f\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">F<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-g\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">G<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-h\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">H<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-i\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">I<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-j\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">J<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-k\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">K<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-l\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">L<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-m\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">M<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-n\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">N<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-o\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">O<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-p\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">P<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-q\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Q<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-r\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">R<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-s\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">S<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-t\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">T<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-u\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">U<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-v\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">V<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-w\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">W<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-x\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">X<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-y\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Y<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-z\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Z<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-46e9463 elementor-hidden-desktop elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"46e9463\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7c7858aa\" data-id=\"7c7858aa\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-31019f91 elementor-widget__width-auto elementor-widget elementor-widget-heading\" data-id=\"31019f91\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Partilhar<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5996c255 elementor-share-buttons--skin-framed elementor-grid-mobile-2 elementor-share-buttons--align-center elementor-share-buttons--color-custom elementor-widget__width-auto elementor-share-buttons--view-icon-text elementor-share-buttons--shape-square elementor-grid-0 elementor-widget elementor-widget-share-buttons\" data-id=\"5996c255\" data-element_type=\"widget\" data-widget_type=\"share-buttons.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-grid\" role=\"list\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t\t<div class=\"elementor-share-btn elementor-share-btn_facebook\" role=\"button\" tabindex=\"0\" aria-label=\"Share on facebook\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__icon\">\n\t\t\t\t\t\t\t\t<svg class=\"e-font-icon-svg e-fab-facebook\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M504 256C504 119 393 8 256 8S8 119 8 256c0 123.78 90.69 226.38 209.25 245V327.69h-63V256h63v-54.64c0-62.15 37-96.48 93.67-96.48 27.14 0 55.52 4.84 55.52 4.84v61h-31.28c-30.8 0-40.41 19.12-40.41 38.73V256h68.78l-11 71.69h-57.78V501C413.31 482.38 504 379.78 504 256z\"><\/path><\/svg>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-share-btn__text\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__title\">\n\t\t\t\t\t\t\t\t\t\tFacebook\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t\t<div class=\"elementor-share-btn elementor-share-btn_twitter\" role=\"button\" tabindex=\"0\" aria-label=\"Share on twitter\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__icon\">\n\t\t\t\t\t\t\t\t<svg class=\"e-font-icon-svg e-fab-twitter\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M459.37 151.716c.325 4.548.325 9.097.325 13.645 0 138.72-105.583 298.558-298.558 298.558-59.452 0-114.68-17.219-161.137-47.106 8.447.974 16.568 1.299 25.34 1.299 49.055 0 94.213-16.568 130.274-44.832-46.132-.975-84.792-31.188-98.112-72.772 6.498.974 12.995 1.624 19.818 1.624 9.421 0 18.843-1.3 27.614-3.573-48.081-9.747-84.143-51.98-84.143-102.985v-1.299c13.969 7.797 30.214 12.67 47.431 13.319-28.264-18.843-46.781-51.005-46.781-87.391 0-19.492 5.197-37.36 14.294-52.954 51.655 63.675 129.3 105.258 216.365 109.807-1.624-7.797-2.599-15.918-2.599-24.04 0-57.828 46.782-104.934 104.934-104.934 30.213 0 57.502 12.67 76.67 33.137 23.715-4.548 46.456-13.32 66.599-25.34-7.798 24.366-24.366 44.833-46.132 57.827 21.117-2.273 41.584-8.122 60.426-16.243-14.292 20.791-32.161 39.308-52.628 54.253z\"><\/path><\/svg>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-share-btn__text\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__title\">\n\t\t\t\t\t\t\t\t\t\tTwitter\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t\t<div class=\"elementor-share-btn elementor-share-btn_linkedin\" role=\"button\" tabindex=\"0\" aria-label=\"Share on linkedin\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__icon\">\n\t\t\t\t\t\t\t\t<svg class=\"e-font-icon-svg e-fab-linkedin\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 32H31.9C14.3 32 0 46.5 0 64.3v383.4C0 465.5 14.3 480 31.9 480H416c17.6 0 32-14.5 32-32.3V64.3c0-17.8-14.4-32.3-32-32.3zM135.4 416H69V202.2h66.5V416zm-33.2-243c-21.3 0-38.5-17.3-38.5-38.5S80.9 96 102.2 96c21.2 0 38.5 17.3 38.5 38.5 0 21.3-17.2 38.5-38.5 38.5zm282.1 243h-66.4V312c0-24.8-.5-56.7-34.5-56.7-34.6 0-39.9 27-39.9 54.9V416h-66.4V202.2h63.7v29.2h.9c8.9-16.8 30.6-34.5 62.9-34.5 67.2 0 79.7 44.3 79.7 101.9V416z\"><\/path><\/svg>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-share-btn__text\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__title\">\n\t\t\t\t\t\t\t\t\t\tLinkedIn\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t\t<div class=\"elementor-share-btn elementor-share-btn_telegram\" role=\"button\" tabindex=\"0\" aria-label=\"Share on telegram\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__icon\">\n\t\t\t\t\t\t\t\t<svg class=\"e-font-icon-svg e-fab-telegram\" viewBox=\"0 0 496 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M248 8C111 8 0 119 0 256s111 248 248 248 248-111 248-248S385 8 248 8zm121.8 169.9l-40.7 191.8c-3 13.6-11.1 16.9-22.4 10.5l-62-45.7-29.9 28.8c-3.3 3.3-6.1 6.1-12.5 6.1l4.4-63.1 114.9-103.8c5-4.4-1.1-6.9-7.7-2.5l-142 89.4-61.2-19.1c-13.3-4.2-13.6-13.3 2.8-19.7l239.1-92.2c11.1-4 20.8 2.7 17.2 19.5z\"><\/path><\/svg>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-share-btn__text\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__title\">\n\t\t\t\t\t\t\t\t\t\tTelegram\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t\t<div class=\"elementor-share-btn elementor-share-btn_whatsapp\" role=\"button\" tabindex=\"0\" aria-label=\"Share on whatsapp\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__icon\">\n\t\t\t\t\t\t\t\t<svg class=\"e-font-icon-svg e-fab-whatsapp\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M380.9 97.1C339 55.1 283.2 32 223.9 32c-122.4 0-222 99.6-222 222 0 39.1 10.2 77.3 29.6 111L0 480l117.7-30.9c32.4 17.7 68.9 27 106.1 27h.1c122.3 0 224.1-99.6 224.1-222 0-59.3-25.2-115-67.1-157zm-157 341.6c-33.2 0-65.7-8.9-94-25.7l-6.7-4-69.8 18.3L72 359.2l-4.4-7c-18.5-29.4-28.2-63.3-28.2-98.2 0-101.7 82.8-184.5 184.6-184.5 49.3 0 95.6 19.2 130.4 54.1 34.8 34.9 56.2 81.2 56.1 130.5 0 101.8-84.9 184.6-186.6 184.6zm101.2-138.2c-5.5-2.8-32.8-16.2-37.9-18-5.1-1.9-8.8-2.8-12.5 2.8-3.7 5.6-14.3 18-17.6 21.8-3.2 3.7-6.5 4.2-12 1.4-32.6-16.3-54-29.1-75.5-66-5.7-9.8 5.7-9.1 16.3-30.3 1.8-3.7.9-6.9-.5-9.7-1.4-2.8-12.5-30.1-17.1-41.2-4.5-10.8-9.1-9.3-12.5-9.5-3.2-.2-6.9-.2-10.6-.2-3.7 0-9.7 1.4-14.8 6.9-5.1 5.6-19.4 19-19.4 46.3 0 27.3 19.9 53.7 22.6 57.4 2.8 3.7 39.1 59.7 94.8 83.8 35.2 15.2 49 16.5 66.6 13.9 10.7-1.6 32.8-13.4 37.4-26.4 4.6-13 4.6-24.1 3.2-26.4-1.3-2.5-5-3.9-10.5-6.6z\"><\/path><\/svg>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-share-btn__text\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__title\">\n\t\t\t\t\t\t\t\t\t\tWhatsApp\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t\t<div class=\"elementor-share-btn elementor-share-btn_email\" role=\"button\" tabindex=\"0\" aria-label=\"Share on email\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__icon\">\n\t\t\t\t\t\t\t\t<svg class=\"e-font-icon-svg e-fas-envelope\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M502.3 190.8c3.9-3.1 9.7-.2 9.7 4.7V400c0 26.5-21.5 48-48 48H48c-26.5 0-48-21.5-48-48V195.6c0-5 5.7-7.8 9.7-4.7 22.4 17.4 52.1 39.5 154.1 113.6 21.1 15.4 56.7 47.8 92.2 47.6 35.7.3 72-32.8 92.3-47.6 102-74.1 131.6-96.3 154-113.7zM256 320c23.2.4 56.6-29.2 73.4-41.4 132.7-96.3 142.8-104.7 173.4-128.7 5.8-4.5 9.2-11.5 9.2-18.9v-19c0-26.5-21.5-48-48-48H48C21.5 64 0 85.5 0 112v19c0 7.4 3.4 14.3 9.2 18.9 30.6 23.9 40.7 32.4 173.4 128.7 16.8 12.2 50.2 41.8 73.4 41.4z\"><\/path><\/svg>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-share-btn__text\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__title\">\n\t\t\t\t\t\t\t\t\t\tEmail\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>___ INJE\u00c7\u00c3O CDI ___ S\u00d3 PARA M\u00c9DICOS Partilhar Facebook Twitter LinkedIn Telegram WhatsApp Email Protocolo a ser disponibilizado em breve. O protocolo Y, tamb\u00e9m conhecido como protocolo de inje\u00e7\u00e3o CDI, \u00e9 um tratamento intravenoso com di\u00f3xido de cloro. Esta t\u00e9cnica \u00e9 estritamente reservada aos profissionais m\u00e9dicos e deve ser realizada com o consentimento do paciente, em conformidade com o princ\u00edpio 37 da Declara\u00e7\u00e3o de Hels\u00ednquia (AMM). O principal objetivo deste protocolo \u00e9 abordar condi\u00e7\u00f5es agudas como a hipoxia, a s\u00e9psis e as rea\u00e7\u00f5es histam\u00ednicas. As instru\u00e7\u00f5es relativas ao Protocolo Y s\u00e3o apresentadas em pormenor a seguir: Inje\u00e7\u00e3o Subcut\u00e2nea (Uso Localizado): Prepara\u00e7\u00e3o: 1 ml de CDS a 3000 ppm em 100 ml de soro fisiol\u00f3gico NaCl 0,9%. Para problemas locais, como infe\u00e7\u00f5es numa \u00e1rea espec\u00edfica, pode ser utilizada uma inje\u00e7\u00e3o subcut\u00e2nea de p\u00e1pulas. Injetar 3 a 5 ml de CDI com uma concentra\u00e7\u00e3o de 30-50 ppm&nbsp; e um pH de 7,6 perto da \u00e1rea afetada. Esta abordagem permite que o di\u00f3xido de cloro seja eficazmente distribu\u00eddo na \u00e1rea afetada. Se necess\u00e1rio, pode repetir-se a inje\u00e7\u00e3o. Inyecci\u00f3n Intravenosa: \u00c9 usada para tratar doen\u00e7as s\u00e9rias e sist\u00e9micas. Antes do tratamento intravenoso, o doente deve ter seguido um protocolo oral ou retal pelo menos 7 dias antes (a menos que se trate de um caso agudo). Colocar uma via perif\u00e9rica com um Abbocath perme\u00e1vel ( calibre 18 ou 20) e mudar de bra\u00e7o em cada infus\u00e3o. Efetuar a pun\u00e7\u00e3o venosa com cuidado para evitar hematomas. Opcionalmente, pode ser efectuada uma gasometria venosa antes e depois do procedimento para avaliar os par\u00e2metros de pH,&nbsp;pCO2,&nbsp;pO2, BEecf, LAC e CREA do doente e para determinar a efic\u00e1cia da dose. N\u00e3o se usa soro com lactato. N\u00e3o misturar ou utilizar vitamina C durante o tratamento. Prepara\u00e7\u00e3o: A dose padr\u00e3o \u00e9 de 5 ml de CDE (Di\u00f3xido de Cloro Eletrol\u00edtico a 3000 ppm) em 500 ml de soro fisiol\u00f3gico, mas a quantidade pode ser ajustada de acordo com as necessidades do doente. O pH da bolsa de infus\u00e3o deve ser preferencialmente de pH 7,6 e pode ser tamponado com 1-2 ml de solu\u00e7\u00e3o de bicarbonato a 8% (HCO3) at\u00e9 atingir o pH necess\u00e1rio. A hidrata\u00e7\u00e3o oxigenante com CDI deve ser administrada durante um per\u00edodo de 3 a 6 horas e o conte\u00fado do saco deve estar \u00e0 temperatura ambiente e protegido da luz solar direta. Em caso de ardor, reduzir a velocidade do gotejamento. Nos doentes em estado cr\u00edtico ou entubados, pode ser administrada uma perfus\u00e3o cont\u00ednua a um ritmo de 30-60 gotas por minuto com 10-15 ml de CDI (3000 ppm) num saco de 500 ml de soro fisiol\u00f3gico NaCl (0,9%). Adicionam-se 2,5 ml de Proca\u00edna ou Lidoca\u00edna ao saco de infus\u00e3o para evitar o ardor venoso. Em caso de ardor, reduzir a velocidade do gotejamento. Em casos cr\u00edticos que exijam doses mais elevadas, \u00e9 utilizada sub-clavicularmente. Variar o local de aplica\u00e7\u00e3o para evitar irrita\u00e7\u00f5es ou ardor. Utiliza\u00e7\u00e3o para fins cir\u00fargicos: Desinfe\u00e7\u00e3o de feridas, preven\u00e7\u00e3o de ader\u00eancias, cirurgia oncol\u00f3gica e osteomielite: \u00c9 utilizada uma solu\u00e7\u00e3o de 300-400 ppm em soro fisiol\u00f3gico NaCl (0,9%) nas \u00e1reas necess\u00e1rias. Parar a hemorragia sem coagula\u00e7\u00e3o: Utiliza-se uma solu\u00e7\u00e3o de 500-1000 ppm aplicando press\u00e3o com uma gaze saturada&nbsp; em CDS sobre a zona durante meio minuto. Esta concentra\u00e7\u00e3o provoca um vasoespasmo sem coagula\u00e7\u00e3o ou poss\u00edvel infe\u00e7\u00e3o e permite a continua\u00e7\u00e3o da cirurgia. C: Queimaduras graves:&nbsp; Utiliza-se um spray com 1000-3000 ppm de CDS diretamente, o que causa al\u00edvio e evita a continua\u00e7\u00e3o da infe\u00e7\u00e3o. Se poss\u00edvel, acrescenta-se o protocolo C25. \u00c9 importante notar que este protocolo \u00e9 uma t\u00e9cnica m\u00e9dica avan\u00e7ada e s\u00f3 deve ser realizado por profissionais de sa\u00fade experientes e pacientes que tenham dado o seu consentimento. Al\u00e9m disso, as doses e concentra\u00e7\u00f5es devem ser determinadas individualmente para cada doente, de acordo com as suas necessidades espec\u00edficas. N\u00e3o utilizar por via intramuscular. Para mais informa\u00e7\u00f5es profissionais, consultar os cursos em Kalcker Institute. Protocolos CDS A B C D E F G H I J K L M N O P Q R S T U V W X Y Z Partilhar Facebook Twitter LinkedIn Telegram WhatsApp Email<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":13865,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-14309","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v22.2 (Yoast SEO v25.8) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Protocolo Y - Andreas Kalcker<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-y\/\" \/>\n<meta property=\"og:locale\" content=\"pt_PT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Protocolo Y\" \/>\n<meta property=\"og:description\" content=\"___ INJE\u00c7\u00c3O CDI ___ S\u00d3 PARA M\u00c9DICOS Partilhar Facebook Twitter LinkedIn Telegram WhatsApp Email Protocolo a ser disponibilizado em breve. O protocolo Y, tamb\u00e9m conhecido como protocolo de inje\u00e7\u00e3o CDI, \u00e9 um tratamento intravenoso com di\u00f3xido de cloro. Esta t\u00e9cnica \u00e9 estritamente reservada aos profissionais m\u00e9dicos e deve ser realizada com o consentimento do paciente, em conformidade com o princ\u00edpio 37 da Declara\u00e7\u00e3o de Hels\u00ednquia (AMM). O principal objetivo deste protocolo \u00e9 abordar condi\u00e7\u00f5es agudas como a hipoxia, a s\u00e9psis e as rea\u00e7\u00f5es histam\u00ednicas. As instru\u00e7\u00f5es relativas ao Protocolo Y s\u00e3o apresentadas em pormenor a seguir: Inje\u00e7\u00e3o Subcut\u00e2nea (Uso Localizado): Prepara\u00e7\u00e3o: 1 ml de CDS a 3000 ppm em 100 ml de soro fisiol\u00f3gico NaCl 0,9%. Para problemas locais, como infe\u00e7\u00f5es numa \u00e1rea espec\u00edfica, pode ser utilizada uma inje\u00e7\u00e3o subcut\u00e2nea de p\u00e1pulas. Injetar 3 a 5 ml de CDI com uma concentra\u00e7\u00e3o de 30-50 ppm&nbsp; e um pH de 7,6 perto da \u00e1rea afetada. Esta abordagem permite que o di\u00f3xido de cloro seja eficazmente distribu\u00eddo na \u00e1rea afetada. Se necess\u00e1rio, pode repetir-se a inje\u00e7\u00e3o. Inyecci\u00f3n Intravenosa: \u00c9 usada para tratar doen\u00e7as s\u00e9rias e sist\u00e9micas. Antes do tratamento intravenoso, o doente deve ter seguido um protocolo oral ou retal pelo menos 7 dias antes (a menos que se trate de um caso agudo). Colocar uma via perif\u00e9rica com um Abbocath perme\u00e1vel ( calibre 18 ou 20) e mudar de bra\u00e7o em cada infus\u00e3o. Efetuar a pun\u00e7\u00e3o venosa com cuidado para evitar hematomas. Opcionalmente, pode ser efectuada uma gasometria venosa antes e depois do procedimento para avaliar os par\u00e2metros de pH,&nbsp;pCO2,&nbsp;pO2, BEecf, LAC e CREA do doente e para determinar a efic\u00e1cia da dose. N\u00e3o se usa soro com lactato. N\u00e3o misturar ou utilizar vitamina C durante o tratamento. Prepara\u00e7\u00e3o: A dose padr\u00e3o \u00e9 de 5 ml de CDE (Di\u00f3xido de Cloro Eletrol\u00edtico a 3000 ppm) em 500 ml de soro fisiol\u00f3gico, mas a quantidade pode ser ajustada de acordo com as necessidades do doente. O pH da bolsa de infus\u00e3o deve ser preferencialmente de pH 7,6 e pode ser tamponado com 1-2 ml de solu\u00e7\u00e3o de bicarbonato a 8% (HCO3) at\u00e9 atingir o pH necess\u00e1rio. A hidrata\u00e7\u00e3o oxigenante com CDI deve ser administrada durante um per\u00edodo de 3 a 6 horas e o conte\u00fado do saco deve estar \u00e0 temperatura ambiente e protegido da luz solar direta. Em caso de ardor, reduzir a velocidade do gotejamento. Nos doentes em estado cr\u00edtico ou entubados, pode ser administrada uma perfus\u00e3o cont\u00ednua a um ritmo de 30-60 gotas por minuto com 10-15 ml de CDI (3000 ppm) num saco de 500 ml de soro fisiol\u00f3gico NaCl (0,9%). Adicionam-se 2,5 ml de Proca\u00edna ou Lidoca\u00edna ao saco de infus\u00e3o para evitar o ardor venoso. Em caso de ardor, reduzir a velocidade do gotejamento. Em casos cr\u00edticos que exijam doses mais elevadas, \u00e9 utilizada sub-clavicularmente. Variar o local de aplica\u00e7\u00e3o para evitar irrita\u00e7\u00f5es ou ardor. Utiliza\u00e7\u00e3o para fins cir\u00fargicos: Desinfe\u00e7\u00e3o de feridas, preven\u00e7\u00e3o de ader\u00eancias, cirurgia oncol\u00f3gica e osteomielite: \u00c9 utilizada uma solu\u00e7\u00e3o de 300-400 ppm em soro fisiol\u00f3gico NaCl (0,9%) nas \u00e1reas necess\u00e1rias. Parar a hemorragia sem coagula\u00e7\u00e3o: Utiliza-se uma solu\u00e7\u00e3o de 500-1000 ppm aplicando press\u00e3o com uma gaze saturada&nbsp; em CDS sobre a zona durante meio minuto. Esta concentra\u00e7\u00e3o provoca um vasoespasmo sem coagula\u00e7\u00e3o ou poss\u00edvel infe\u00e7\u00e3o e permite a continua\u00e7\u00e3o da cirurgia. C: Queimaduras graves:&nbsp; Utiliza-se um spray com 1000-3000 ppm de CDS diretamente, o que causa al\u00edvio e evita a continua\u00e7\u00e3o da infe\u00e7\u00e3o. Se poss\u00edvel, acrescenta-se o protocolo C25. \u00c9 importante notar que este protocolo \u00e9 uma t\u00e9cnica m\u00e9dica avan\u00e7ada e s\u00f3 deve ser realizado por profissionais de sa\u00fade experientes e pacientes que tenham dado o seu consentimento. Al\u00e9m disso, as doses e concentra\u00e7\u00f5es devem ser determinadas individualmente para cada doente, de acordo com as suas necessidades espec\u00edficas. N\u00e3o utilizar por via intramuscular. Para mais informa\u00e7\u00f5es profissionais, consultar os cursos em Kalcker Institute. Protocolos CDS A B C D E F G H I J K L M N O P Q R S T U V W X Y Z Partilhar Facebook Twitter LinkedIn Telegram WhatsApp Email\" \/>\n<meta property=\"og:url\" content=\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-y\/\" \/>\n<meta property=\"og:site_name\" content=\"Andreas Kalcker\" \/>\n<meta property=\"article:modified_time\" content=\"2025-04-23T16:02:51+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Tempo estimado de leitura\" \/>\n\t<meta name=\"twitter:data1\" content=\"4 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-y\/\",\"url\":\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-y\/\",\"name\":\"Protocolo Y - Andreas Kalcker\",\"isPartOf\":{\"@id\":\"https:\/\/andreaskalcker.com\/#website\"},\"datePublished\":\"2023-10-18T14:42:17+00:00\",\"dateModified\":\"2025-04-23T16:02:51+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-y\/#breadcrumb\"},\"inLanguage\":\"pt-PT\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-y\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-y\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Portada\",\"item\":\"https:\/\/andreaskalcker.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Protocolos CDS\",\"item\":\"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Protocolo Y\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/andreaskalcker.com\/#website\",\"url\":\"https:\/\/andreaskalcker.com\/\",\"name\":\"Andreas Kalcker\",\"description\":\"Official website\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/andreaskalcker.com\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"pt-PT\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Protocolo Y - Andreas Kalcker","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/andreaskalcker.com\/pt-pt\/protocolos-cds\/protocolo-y\/","og_locale":"pt_PT","og_type":"article","og_title":"Protocolo Y","og_description":"___ INJE\u00c7\u00c3O CDI ___ S\u00d3 PARA M\u00c9DICOS Partilhar Facebook Twitter LinkedIn Telegram WhatsApp Email Protocolo a ser disponibilizado em breve. O protocolo Y, tamb\u00e9m conhecido como protocolo de inje\u00e7\u00e3o CDI, \u00e9 um tratamento intravenoso com di\u00f3xido de cloro. Esta t\u00e9cnica \u00e9 estritamente reservada aos profissionais m\u00e9dicos e deve ser realizada com o consentimento do paciente, em conformidade com o princ\u00edpio 37 da Declara\u00e7\u00e3o de Hels\u00ednquia (AMM). O principal objetivo deste protocolo \u00e9 abordar condi\u00e7\u00f5es agudas como a hipoxia, a s\u00e9psis e as rea\u00e7\u00f5es histam\u00ednicas. As instru\u00e7\u00f5es relativas ao Protocolo Y s\u00e3o apresentadas em pormenor a seguir: Inje\u00e7\u00e3o Subcut\u00e2nea (Uso Localizado): Prepara\u00e7\u00e3o: 1 ml de CDS a 3000 ppm em 100 ml de soro fisiol\u00f3gico NaCl 0,9%. Para problemas locais, como infe\u00e7\u00f5es numa \u00e1rea espec\u00edfica, pode ser utilizada uma inje\u00e7\u00e3o subcut\u00e2nea de p\u00e1pulas. Injetar 3 a 5 ml de CDI com uma concentra\u00e7\u00e3o de 30-50 ppm&nbsp; e um pH de 7,6 perto da \u00e1rea afetada. Esta abordagem permite que o di\u00f3xido de cloro seja eficazmente distribu\u00eddo na \u00e1rea afetada. Se necess\u00e1rio, pode repetir-se a inje\u00e7\u00e3o. Inyecci\u00f3n Intravenosa: \u00c9 usada para tratar doen\u00e7as s\u00e9rias e sist\u00e9micas. Antes do tratamento intravenoso, o doente deve ter seguido um protocolo oral ou retal pelo menos 7 dias antes (a menos que se trate de um caso agudo). Colocar uma via perif\u00e9rica com um Abbocath perme\u00e1vel ( calibre 18 ou 20) e mudar de bra\u00e7o em cada infus\u00e3o. Efetuar a pun\u00e7\u00e3o venosa com cuidado para evitar hematomas. Opcionalmente, pode ser efectuada uma gasometria venosa antes e depois do procedimento para avaliar os par\u00e2metros de pH,&nbsp;pCO2,&nbsp;pO2, BEecf, LAC e CREA do doente e para determinar a efic\u00e1cia da dose. N\u00e3o se usa soro com lactato. N\u00e3o misturar ou utilizar vitamina C durante o tratamento. Prepara\u00e7\u00e3o: A dose padr\u00e3o \u00e9 de 5 ml de CDE (Di\u00f3xido de Cloro Eletrol\u00edtico a 3000 ppm) em 500 ml de soro fisiol\u00f3gico, mas a quantidade pode ser ajustada de acordo com as necessidades do doente. O pH da bolsa de infus\u00e3o deve ser preferencialmente de pH 7,6 e pode ser tamponado com 1-2 ml de solu\u00e7\u00e3o de bicarbonato a 8% (HCO3) at\u00e9 atingir o pH necess\u00e1rio. A hidrata\u00e7\u00e3o oxigenante com CDI deve ser administrada durante um per\u00edodo de 3 a 6 horas e o conte\u00fado do saco deve estar \u00e0 temperatura ambiente e protegido da luz solar direta. Em caso de ardor, reduzir a velocidade do gotejamento. Nos doentes em estado cr\u00edtico ou entubados, pode ser administrada uma perfus\u00e3o cont\u00ednua a um ritmo de 30-60 gotas por minuto com 10-15 ml de CDI (3000 ppm) num saco de 500 ml de soro fisiol\u00f3gico NaCl (0,9%). Adicionam-se 2,5 ml de Proca\u00edna ou Lidoca\u00edna ao saco de infus\u00e3o para evitar o ardor venoso. Em caso de ardor, reduzir a velocidade do gotejamento. Em casos cr\u00edticos que exijam doses mais elevadas, \u00e9 utilizada sub-clavicularmente. Variar o local de aplica\u00e7\u00e3o para evitar irrita\u00e7\u00f5es ou ardor. Utiliza\u00e7\u00e3o para fins cir\u00fargicos: Desinfe\u00e7\u00e3o de feridas, preven\u00e7\u00e3o de ader\u00eancias, cirurgia oncol\u00f3gica e osteomielite: \u00c9 utilizada uma solu\u00e7\u00e3o de 300-400 ppm em soro fisiol\u00f3gico NaCl (0,9%) nas \u00e1reas necess\u00e1rias. Parar a hemorragia sem coagula\u00e7\u00e3o: Utiliza-se uma solu\u00e7\u00e3o de 500-1000 ppm aplicando press\u00e3o com uma gaze saturada&nbsp; em CDS sobre a zona durante meio minuto. Esta concentra\u00e7\u00e3o provoca um vasoespasmo sem coagula\u00e7\u00e3o ou poss\u00edvel infe\u00e7\u00e3o e permite a continua\u00e7\u00e3o da cirurgia. C: Queimaduras graves:&nbsp; Utiliza-se um spray com 1000-3000 ppm de CDS diretamente, o que causa al\u00edvio e evita a continua\u00e7\u00e3o da infe\u00e7\u00e3o. Se poss\u00edvel, acrescenta-se o protocolo C25. \u00c9 importante notar que este protocolo \u00e9 uma t\u00e9cnica m\u00e9dica avan\u00e7ada e s\u00f3 deve ser realizado por profissionais de sa\u00fade experientes e pacientes que tenham dado o seu consentimento. Al\u00e9m disso, as doses e concentra\u00e7\u00f5es devem ser determinadas individualmente para cada doente, de acordo com as suas necessidades espec\u00edficas. N\u00e3o utilizar por via intramuscular. Para mais informa\u00e7\u00f5es profissionais, consultar os cursos em Kalcker Institute. 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