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L
It is the failure of the right side of the heart
caused by prolonged high blood pressure in the
pulmonary artery and right ventricle of the
heart.
Pulmonary Vessel
Restriction
Increased
Viscosity Pulmonary thrombo-
PULMO.NARY HTN embolim
Shortness of breath
wheezing
tachypnea
hepatomegaly
lower-extremity edema
Chest discomfort
Enlargement of liver
History collection
Physical examination
Chest X Ray
hypertrophy
Echocardiogram: rt ventricular dialation and
tricuspid regurgitation
Cardiac catheterization
Doppler echocardiography
assess pulmonary artery pressures
MRI scan
assessing RV structure and function, particularly
in patients who are difficult to image with
echocardiography because of severe lung disease
– Adequate oxygenation (oxygen saturation 90–92%) will
also decrease pulmonary vascular resistance and reduce
the demands on the RV.
PHARMACOTHERAPY
• DIURETIC AGENTS
• VASODIALATORS
• BETA SELECTIVE
AGONISTS
• CARDIAC GLYCOSIDES
• THEOPHYLLINE
• WARFARIN
LUNG TRANSPLANTATION
Instruct the patient to take all medicines on
prescribed time.
Encourage to use low sodium diet
Instruct to drink more water
Instruct the patient to maintain proper body weight
Teach the patient to balance activity and rest
Instruct the patient to avoid vigorous activities and
exercises
Encourage to perform stress reduction
activities.
Teach about breathing and coughing exercise
Suggest the family members to learn about
CPR.
Check the oxygen saturation level inbetween
Provide nebulization and chest physiotherapy.
Maintain proper blood pressure
Obtain the lipid profile frequently
Provide psychological support to the patient
and relatives.
Decreased cardiac output related to
restricted cardiac muscle contractility as
evidenced by echocardiographic finding