Prostaglandins for the control of pulmonary hypertension in the postoperative cardiac surgery patient: nursing implications.
Right ventricular failure associated with pulmonary hypertension is a potential complication in selected cardiac surgical patients following cardiopulmonary bypass. Treatment modalities are generally focused on reduction of right ventricular afterload. PGE1 infusion is one method of providing afterload reduction by its vasodilating action on the pulmonary vasculature. Nursing management of the patient receiving PGE1 requires a thorough knowledge of the hemodynamic alterations occurring in right ventricular failure and pulmonary hypertension, as well as the effect of PGE1 on these hemodynamic parameters. The nurse must understand the rationale for concomitant administration of a vasoconstrictor with the PGE1 as well as possible methods of administering these agents. Lastly, recognition and management of possible adverse effects associated with PGE1 infusion are essential components of nursing care.
Kelleher
R M
RM
Rose
A A
AA
Ordway
L
L
D000368:Aged; D006348:Cardiac Surgical Procedures; D002985:Clinical Protocols; D005260:Female; D006801:Humans; D006976:Hypertension, Pulmonary / Q000188:drug therapy* / Q000451:nursing / Q000503:physiopathology; D007223:Infant; D007262:Infusions, Intravenous; D011183:Postoperative Complications / Q000188:drug therapy* / Q000451:nursing / Q000503:physiopathology; D011458:Prostaglandins E / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*
D011458:Prostaglandins E