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What is the value of monitoring pulmonary artery pressure in the ventilated patient? What factors would...

What is the value of monitoring pulmonary artery pressure in the ventilated patient? What factors would create unreliable results?

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Expert Solution

Pulmonary blood pressure reflects the pressure the heart exerts to pump blood from the heart through the arteries of the lungs.

Normal pulmonary artery pressure is 8-20 mm Hg at rest. If the pressure in the pulmonary artery is greater than 25 mm Hg at rest or 30 mmHg during physical activity, it is abnormally high and is called pulmonary hypertension.

Pulmonary hypertension (PH) is defined as an increase in mean pulmonary arterial pressure (P̄pa) ≥25 mmHg at rest on right heart catheterisation (RHC).

Factors that create unreliable results-

While pulmonary hypertension has no cure, you can live an active, fulfilling life by working with your doctor to manage your symptoms. Talk to your doctor before taking over-the-counter medicine, as some can worsen symptoms of pulmonary hypertension or interfere with prescriptions and keep a list of medicines with you. Ask whether you should get a pneumonia vaccination or flu shot. Additionally, pregnancy can pose serious risks for women with pulmonary hypertension, so be sure to discuss birth control options with your physician.


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