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Pulmonary hypertension - at home

Description

Pulmonary hypertension (PAH) is abnormally high blood pressure in the arteries of the lungs. With PAH, the right side of the heart has to work harder than normal.

As the illness gets worse, you will need to do more to take care of yourself. You will also need to make changes in your home and get more help around the house.

Keep active

Try walking to build up strength:

  • Ask the doctor or therapist how far to walk.
  • Slowly increase how far you walk.
  • Try not to talk when you walk so you do not get winded.
  • Stop if you have chest pain or feel dizzy.

Ride a stationary bike. Ask your doctor or therapist how long and how hard to ride.

Get stronger even when you are sitting:

  • Use small weights or rubber tubing to make your arms and shoulders stronger.
  • Stand up and sit down several times.
  • Raise your legs straight out in front of you. Hold for a few seconds, then lower them back down.

Self-care

Try to eat 6 small meals a day. It might be easier to breathe when your stomach is not full.

  • Do not drink a lot of liquid before or while eating your meals.
  • Ask your doctor what foods to eat to get more energy.
  • If you smoke, now is the time to quit. Stay away from smokers when you are out. Do not allow smoking in your home.
  • Stay away from strong odors and fumes.
  • Do breathing exercises.
  • Take all the medicines that your doctor prescribed for you.
  • Talk to your doctor if you feel depressed or anxious.
  • Tell your doctor if you are becoming dizzy or have a lot more swelling in your legs.

Stay away from infections

Get a flu shot every year. Ask your doctor if you should get a pneumonia vaccine.

Wash your hands often. Always wash them after you go to the bathroom and when you are around people who are sick.

Stay away from crowds.

Ask visitors with colds to wear masks, or to visit you after their colds are gone.

Around the home

Make it easier for yourself at home.

  • Put items you use often in spots where you do not have to reach or bend over to get them.
  • Use a cart with wheels to move things around the house.
  • Use an electric can opener, dishwasher, and other things that will make your chores easier to do.
  • Use cooking tools (knives, peelers, and pans) that are not heavy.

To save your energy:

  • Use slow, steady motions when you are doing things.
  • Sit down if you can when you are cooking, eating, dressing, and bathing.
  • Get help for harder tasks.
  • Do not try to do too much in one day.
  • Keep the phone with you or near you.
  • Wrap yourself in a towel rather than drying off.
  • Try to reduce stress in your life.

Going home with oxygen

In the hospital, you received oxygen treatment. You may need to use oxygen at home. Do not change how much oxygen is flowing without asking your doctor.

Have a backup supply of oxygen at home or with you when you go out. Keep the phone number of your oxygen supplier with you at all times. Learn how to use oxygen safely at home.

Follow-up

Your hospital doctor or nurse may ask you to make a follow-up visit with:

  • Your primary care doctor
  • Your lung doctor (pulmonologist) or your heart doctor (cardiologist)
  • Someone who can help you stop smoking, if you smoke

When to call the doctor

Call your doctor if your breathing is:

  • Getting harder
  • Faster than before
  • Shallow, or you cannot get a deep breath

Also call your doctor if:

  • You need to lean forward when sitting to breathe easier
  • You feel sleepy or confused
  • You have a fever
  • Your fingertips, or the skin around your fingernails, are blue

References

McLaughlin VV, Archer SL, Badesch DB, et al. ACCF/AHA 2009 expert consensus document on pulmonary hypertension: a report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents and the American Heart Association developed in collaboration with the American College of Chest Physicians; American Thoracic Society, Inc.; and the Pulmonary Hypertension Association. J Am Coll Cardiol. 2009;53:1573-1619.

Rich S. Pulmonary hypertension. In: Bonow RO, Mann DL, Mann DL, et al. eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 9th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 78.


Review Date: 5/30/2013
Reviewed By: Denis Hadjiliadis, MD, Assistant Professor of Medicine, Division of Pulmonary, Allergy and Critical Care, University of Pennsylvania, Philadelphia, PA. Also reviewed by David Zieve, MD, MHA, Bethanne Black, and the A.D.A.M. Editorial team.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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