Pulm - pHTN, OSA & ARDS Flashcards Preview

Medicine > Pulm - pHTN, OSA & ARDS > Flashcards

Flashcards in Pulm - pHTN, OSA & ARDS Deck (7):
0

pHTN?

Wedge pressure > 25

1

Physical exam findings in pHTN?

CXR?

EKG?

Wide splitting of S2

Dilation of proximal pulmonary arteries with narrowing of distal vessels

Right axis deviation, right atrial and ventricular hypertrophy

2

Treatment for pHTN?

#Prostacyclin analogues/pulmonary artery vasodilators – epoprostenol , iloprost, beraprost
#endothelin antagonists – Bosentan
#Phosphodiesterase inhibitors – sildenafil

3

Sleep apnea versus obesity hypoventilation syndrome?

Normal bicarb versus increased bicarb

4

Treatment of OSA?

#Weight-loss
#avoid alcohol
#CPAP
#surgery

5

ARDS?

pO2/FIO2 < 300

6

Management of ARDS?

#Low tidal volume (6 mL per kilogram)
#Increase PEEP
#Decrease FIO2
#Plateau pressure < 30 cm

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