logging in or signing up Pulmonary Hypertension.ppt monikajoseph Download Post to : URL : Related Presentations : Let's Connect Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Copy embed code: Embed: Flash iPad Dynamic Copy Does not support media & animations Automatically changes to Flash or non-Flash embed WordPress Embed Customize Embed URL: Copy Thumbnail: Copy The presentation is successfully added In Your Favorites. Views: 2083 Category: Education License: All Rights Reserved Like it (0) Dislike it (0) Added: May 02, 2011 This Presentation is Public Favorites: 2 Presentation Description No description available. Comments Posting comment... By: herosaikiran (34 month(s) ago) plz enable it to download i need it immidately!! Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript PULMONARY HYPERTENSION : PULMONARY HYPERTENSION Conducted by: Ms.Monika Clinical instructor Army college of nursingINTRODUCTION: INTRODUCTION pulmonary hypertension (PH or PHT) is an increase in blood pressure in the pulmonary artery , pulmonary vein , or pulmonary capillaries. It is also defined as a prolonged elevation of pulmonary artery pressure above 25 mmhg at rest (normal 10 to 20 mmhg) or above 30 mm hg during exercise.( normal 20 to 30 mm hg)Cont…………..d: Cont…………..d Pulmonary hypertension can be a severe disease with a markedly decreased exercise tolerance and heart failure . It occurs most often in young adults b/w the age of 30 & 40 years. The condition is progressive ,leading to right sided heart failure & severe dyspnea.Etiology : Etiology The pulmonary circulation is generally a low pressure system. Increased cardiac output in healthy person as with exercise causes minimal elevation in PAP. When pulmonary vasoconstriction is present ,the pressure elevation occurs because the pulmonary vasculature cannot accommodate increased blood flow.Clinical manifestation : Clinical manifestation In moderate to severe forms mainifestation are: Dyspnea Fatigue fainting or syncope Angina like chest pain Palpitations Muscular weakness. peripheral edema (swelling around the ankles and feet), and rarely hemoptysis (coughing up blood). Pulmonary venous hypertension typically presents with shortness of breath while lying flat or sleepingDiagnostic evaluation : Diagnostic evaluation A physical examination is performed to look for typical signs of pulmonary hypertension. Further procedures are required to confirm the presence of pulmonary hypertension. These generally include pulmonary function tests ; blood tests to exclude HIV , autoimmune diseases, and liver disease; electrocardiography (ECG); arterial blood gas measurements; X-rays of the chest (followed by high-resolution CT scanning if interstitial lung disease is suspected); and ventilation-perfusion or V/Q scanning .Cont………….d: Cont………….d A chest x-ray study shows right ventricular hypertrophy ,enlarged pulmonary arteries Cardiac catheterization provides the most valuable diagnostic measurement.Medical management: Medical management The overall prognosis in severe [pulmonary hypertension is poor ,although treatment options are improving. Supportive interventions with supplemental o2 to reduce hypoxemia. Anticoagulants may be used to prevent thromboembolic events. Vasodilator therapy is the pharmacologic management. You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.