Pulmonary arterial hypertension (PH) is an often-misdiagnosed lung disorder occurring as a primary idiopathic disease or as a complication of a large number of respiratory and cardiac diseases.
The non-specific nature of the symptoms and subtle nature of the signs of pulmonary vascular disease often delay diagnosis.
Nursing care of the patient with PH is about responding to patients’ symptoms, explaining the disease and the treatments and best supportive care. This is a progressive and deadly disease requiring routine monitoring and a strict medication regimen. Early diagnosis, initiation of therapy, and adherence to therapy improve mobility and help maintain quality of life while slowing disease progression. An understanding of diagnostics, pharmacologic treatments, and strong assessment skills are vital to providing safe and effective nursing care and effective education to a patient with PAH. ountless years of experience.
Early detection save life........
Understand the Pulmonary Embolism and learn how to manage the patients those diagnosed with PE.
When a patient develops PE while hospitalized, the nurse may be the first clinician to detect signs and symptoms. Assessment should include the patient's general appearance, vital signs, and SpO2. Assess for jugular vein distension and changes in heart sounds, such as a new murmur. ECG changes may include right bundle-branch block and T-wave inversion in leads V1-V4. Nurses can expedite diagnosis and treatment by anticipating the need for lab specimens and preparing the patient for safe transport for diagnostic imaging or interventional procedures.
PE is a clinically significant obstruction occurring in part of or the entire pulmonary vascular tree. The most common cause is a thrombus from a distant site such as the leg.