Pulm - pHTN, OSA & ARDS Flashcards Preview

Medicine > Pulm - pHTN, OSA & ARDS > Flashcards

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

Physical exam findings in pHTN?

CXR?

EKG?

A

Wide splitting of S2

Dilation of proximal pulmonary arteries with narrowing of distal vessels

Right axis deviation, right atrial and ventricular hypertrophy

1
Q

pHTN?

A

Wedge pressure > 25

2
Q

Treatment for pHTN?

A
#Prostacyclin analogues/pulmonary artery vasodilators – epoprostenol , iloprost, beraprost
#endothelin antagonists – Bosentan
#Phosphodiesterase inhibitors – sildenafil
3
Q

Sleep apnea versus obesity hypoventilation syndrome?

A

Normal bicarb versus increased bicarb

4
Q

Treatment of OSA?

A
#Weight-loss 
#avoid alcohol
#CPAP
#surgery
5
Q

ARDS?

A

pO2/FIO2 < 300

6
Q

Management of ARDS?

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

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