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Punção em jugular não é acesso central. É acesso venoso periférico e deve ser cuidado igual acesso na mão. O que muda é a técnica, porque ao lado passa a artéria carótida. Para facilitar a punção você pode usar Trendelenburg ou compressão acima da clavícula para distender a veia. Mas cuidado. Paciente com edema agudo de pulmão não pode ficar em Trendelenburg. Enfermagem boa não é só saber fazer. É saber quando não fazer. Se você quer aprender raciocínio clínico de verdade, a FEAV está com
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#TítuloEmDia Passo a passo — acesso à veia jugular externa 1. Higienize as mãos e use técnica asséptica. 2. Posicione o paciente em decúbito dorsal, com leve Trendelenburg, se possível. 3. Vire a cabeça levemente para o lado oposto da punção. 4. Identifique a veia jugular externa, superficial, sobre o músculo esternocleidomastoideo. 5. Faça antissepsia ampla da região cervical. 6. Pressione suavemente a veia jugular externa na sua porção inferior, próxima à clavícula, para #Psicossomatica
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