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Administering Treprostinil to an Intubated Patient Kristen Merriman, MS, RRT-ACCS, RRT-NPS, AE-C, RCP Director of Cardiopulmonary & Neurodiagnostic Services Good Samaritan Hospital, San José, CA

Administering Treprostinil to an Intubated Patient Kristen Merriman, MS, RRT-ACCS, RRT-NPS, AE-C, RCP Director of Cardiopulmonary & Neurodiagnostic Services

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Page 1: Administering Treprostinil to an Intubated Patient Kristen Merriman, MS, RRT-ACCS, RRT-NPS, AE-C, RCP Director of Cardiopulmonary & Neurodiagnostic Services

Administering Treprostinil to an Intubated PatientKristen Merriman, MS, RRT-ACCS, RRT-NPS, AE-C, RCPDirector of Cardiopulmonary & Neurodiagnostic ServicesGood Samaritan Hospital, San José, CA

Page 2: Administering Treprostinil to an Intubated Patient Kristen Merriman, MS, RRT-ACCS, RRT-NPS, AE-C, RCP Director of Cardiopulmonary & Neurodiagnostic Services

Rationale

Inhaled treprostinil (Tyvaso®) is FDA approved for treatment of pulmonary hypertension

Page 3: Administering Treprostinil to an Intubated Patient Kristen Merriman, MS, RRT-ACCS, RRT-NPS, AE-C, RCP Director of Cardiopulmonary & Neurodiagnostic Services

Rationale

Inhaled treprostinil (Tyvaso®) is FDA approved for treatment of pulmonary hypertension

One unit dose (2.9 mL) is used each day

Page 4: Administering Treprostinil to an Intubated Patient Kristen Merriman, MS, RRT-ACCS, RRT-NPS, AE-C, RCP Director of Cardiopulmonary & Neurodiagnostic Services

Rationale

Inhaled treprostinil (Tyvaso®) is FDA approved for treatment of pulmonary hypertension

One unit dose (2.9 mL) is used each day

Patient takes four treatments each day

Page 5: Administering Treprostinil to an Intubated Patient Kristen Merriman, MS, RRT-ACCS, RRT-NPS, AE-C, RCP Director of Cardiopulmonary & Neurodiagnostic Services

Rationale

Inhaled treprostinil (Tyvaso®) is FDA approved for treatment of pulmonary hypertension

One unit dose (2.9 mL) is used each day

Patient takes four treatments each day

Proprietary ultrasonic nebulizer

Page 6: Administering Treprostinil to an Intubated Patient Kristen Merriman, MS, RRT-ACCS, RRT-NPS, AE-C, RCP Director of Cardiopulmonary & Neurodiagnostic Services

Rationale

Page 7: Administering Treprostinil to an Intubated Patient Kristen Merriman, MS, RRT-ACCS, RRT-NPS, AE-C, RCP Director of Cardiopulmonary & Neurodiagnostic Services

Methods

Four 1 mL syringes used to draw up 0.75 mL doses

Page 8: Administering Treprostinil to an Intubated Patient Kristen Merriman, MS, RRT-ACCS, RRT-NPS, AE-C, RCP Director of Cardiopulmonary & Neurodiagnostic Services

Methods

Four 1 mL syringes used to draw up 0.75 mL doses

Aerogen nebulizer

Page 9: Administering Treprostinil to an Intubated Patient Kristen Merriman, MS, RRT-ACCS, RRT-NPS, AE-C, RCP Director of Cardiopulmonary & Neurodiagnostic Services

Methods

Page 10: Administering Treprostinil to an Intubated Patient Kristen Merriman, MS, RRT-ACCS, RRT-NPS, AE-C, RCP Director of Cardiopulmonary & Neurodiagnostic Services

Results

Transient decrease in mean pulmonary arterial pressure (40 mm Hg 36 mm Hg)

Page 11: Administering Treprostinil to an Intubated Patient Kristen Merriman, MS, RRT-ACCS, RRT-NPS, AE-C, RCP Director of Cardiopulmonary & Neurodiagnostic Services

Results

Transient decrease in mean pulmonary arterial pressure (40 mm Hg 36 mm Hg)

SpO2 increase (91% 96%)