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Pulmonary Hypertension. Not all wheezes are the same!. Preston Baresgian. Causes of Pulmonary Hypertension. HYPOXIA!!. Hypervolumia. Cardiac disease/arrhythmia. Emphysema/COPD. Pulmonary embolism. Causes of Hypoxia. Alveolar Hypoventilation – CNS, COPD, OSA and medication induced.
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Pulmonary Hypertension Not all wheezes are the same! Preston Baresgian
Causes of Pulmonary Hypertension HYPOXIA!! Hypervolumia Cardiac disease/arrhythmia Emphysema/COPD Pulmonary embolism
Causes of Hypoxia Alveolar Hypoventilation – CNS, COPD, OSA and medication induced. Anemia – Reduction of O2 carrying capacity Low inspired oxygen concentration. V/Q mismatch (Ventilation and Perfusion) – Embolism, COPD, Pneumonia, and ARDS etc…
Signs and symptoms of pulmonary hypertension Decreased mental status Anxiety Jugularvenous distension -Dyspnea/Tachypnea -Wheezes/crackles (rales) -More persistent cough Tachycardia and/or irregular heart rate • Skin Color • Diaphoresis Peripheral Edema
Treatment of Pulmonary Hypertension • Diuretics • Anti coagulants • Vasodilators • Oxygen therapy!
In conclusion... HYPOXIA Peripheral vasoconstriction RELIEF OF RESPIRATORY DISTRESS! Pulmonary Hypertension Peripheral vasodilatation Decreased PaO2/SPO2 Decreased pulmonary hypertension Decreased Hypoxia Increased respiratory distress So... Increased oxygen (FIO2)