Sandra Lombardi, RN, has been the Clinical Care Coordinator for the University of California, San Diego Pulmonary Vascular Program for the past 15 years. This institution is a national referral center that is internationally recognized as a Center of Excellence by the American College of Clinical Pharmacy. Sandra has more than 30 years of experience in pulmonary and critical care, the last 20 of which have focused on pulmonary hypertension. Ms. Lombardi has been involved with the direct management of pulmonary arterial hypertension (PAH) patients through her work with Accredo Health Services, in which she participated in teaching PAH patients about home IV epoprostenol and IV/SQ treprostinil use as well as inhaled therapies. She also interacts extensively with case managers and insurance companies in getting approval for PAH medication for patients. She has been a sub-investigator in multiple clinical trials involving the treatment of PAH and the impact of the disease on patients and their families.