A patient in the ICU has a chest X-ray that shows bilateral infiltrates and has the following hemodynamic measurements: central venous pressure (CVP)3 mm Hg,pulmonary artery pressure (PAP)21/10 mm Hg,and pulmonary artery occlusion pressure (PAOP)8 mm Hg.These findings are consistent with which of the following?
A) Acute respiratory distress syndrome
B) Cardiogenic pulmonary edema
C) Pulmonary hypertension
D) Right heart failure

Question

Quizplus · Accepted Answer

The central venous pressure (CVP)and pulmonary artery pressure (PAP)are both within normal limits.Therefore,there is no pulmonary hypertension and no right ventricular failure.The bilateral infiltrates with a normal pulmonary artery occlusion pressure (PAOP)do not suggest cardiogenic pulmonary edema but are indicative of acute respiratory distress syndrome (ARDS).

A Patient in the ICU Has a Chest X-Ray That