A Nurse's Perspective on the Alert for Pulmonary Arterial Hypertension

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On The Alert for Pulmonary Arterial Hypertension On The Alert for Pulmonary Arterial Hypertension Summarized by: Joanne Marie Tarrobal-Baynosa Arellano University - INP Summarized by: Joanne Marie Tarrobal-Baynosa Arellano University - INP By Vincent M. Vacca, Jr., RN, CCRN, MSN Nursing Journal, December 2009 Issue By Vincent M. Vacca, Jr., RN, CCRN, MSN Nursing Journal, December 2009 Issue Nurse Vincent M. Vacca, Jr. aptly described in this issue of the Nursing Journal the significance of early detection and health management of people who are or are maybe suffering from Pulmonary Arterial Hypertension. He described PAH as a condition wherein a patient is having a mean pulmonary arterial (PA) pressure of greater than 25 mm…show more content…
A lung or heart transplant is then recommended for patients whose condition doesn’t improve or worsens. The survival rate according to nurse Vacca for patients receiving lung transplant is 74% after 1 year and 45% after 5 years of receiving the new lung. However, he said the wait time for donor lung can take up to 3 years but sadly patients with PAH can not wait that long. Therefore nurse Vacca emphasized the importance of educating families and patients with PAH the proper management of this condition in order for patients to live longer and have a better quality of life. Some of the examples he mentioned in the proper management of this condition includes proper administration of medication including knowing its side effects, appropriate planning of activities and rest, reducing fluid retention by following a low sodium diet, daily weight monitoring and being alert in recognizing peripheral edema, the use of supplemental oxygen if needed, and knowing when to contact a health care provider upon onset of symptoms. Most importantly, encourage patients to discuss end of life issues with their family and/or social services and support

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