A patient in the ICU has a chest x-ray that shows bilateral infiltrates and has the following hemodynamic measurements: central venous pressure (CVP)5 mm Hg,pulmonary artery pressure (PAP)24/13 mm Hg,and pulmonary artery occlusion pressure (PAOP)21 mm Hg.These findings are consistent with which of the following?

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 elevated pulmonary artery occlusion pressure (PAOP)along with the bilateral infiltrates is consistent with cardiogenic pulmonary edema due to left ventricular failure.Noncardiogenic pulmonary edema would not cause an elevated PAOP.

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