"Right atrial pressure is 8, right ventricular pressure equals 59/9, pulmonary artery pressure equals 61/31 with mean of 43, pulmonary artery wedge pressure equals 21, cardiac output equals 3.3 by the Fick method, cardiac index is 1.6 by the Fick method, systemic vascular resistance equals 1821, and transpulmonic gradient equals 22.,IMPRESSION:  ,Exam and Swan findings consistent with low perfusion given that the mixed venous O2 is only 38% on current medical therapy as well as elevated right-sided filling pressures and a high systemic vascular resistance.,PLAN: , Given that the patient is unable to tolerate vasodilator therapy secondary to significant orthostasis and the fact that the patient will not respond to oral titration at this point due to lack of cardiac reserve, the patient will need to be discharged home on Primacor"
"Puleesa y’omusuwa ogwa ddyo eri 8, puleesa y’omusuwa ogwa ddyo yenkana 59/9, puleesa y’emisuwa gy’amawuggwe yenkana 61/31 nga wakati wa 43, puleesa y’omusuwa gw’amawuggwe yenkana 21, okufuluma kw’omutima yenkana 3.3 mu nkola ya Fick, omuwendo gw’omutima gwenkana 1.6 mu nkola ya Fick , systemic vascular resistance equals 1821, and transpulmonic gradient equals 22.,IMPRESSION: ,Ebizuuliddwa mu kukebera ne Swan bikwatagana n’okufuyira okutono okusinziira ku kuba nti O2 y’emisuwa egy’enjawulo eri 38% zokka ku bujjanjabi obw’obujjanjabi obuliwo kati awamu ne puleesa z’okujjuza ku ludda olwa ddyo eziri waggulu ne a high systemic vascular resistance.,PLAN: , Okusinziira ku kuba nti omulwadde tasobola kugumira bujjanjabi bwa vasodilator secondary to significant orthostasis n’ensonga nti omulwadde tajja kuddamu ku oral titration mu kiseera kino olw’obutaba na cardiac reserve, omulwadde ajja kwetaaga okusiibulwa awaka ku Primacor"