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Tuesday, July 6, 2021

Pulmonary Hypertension

emDOCs Podcast Episode 32 - July 06, 2021 - By Brit Long and Rachel Bridwell
Key Points:
  • Myriad of chief complaints can be pulmonary hypertension; try to determine what is triggering the acute decompensation.
  • Elevations in troponin and liver function tests portend a poor prognosis.
  • Point of care ultrasound may be useful in guiding acute resuscitation, though evaluation of IVC may not reflect intravascular volume.
  • Avoid hypoxemia and hypercarbia and maintain right ventricular preload support.
  • Most patients will be admitted.
  • Avoid intubating these patients if at all possible.
  • Restart PAH meds if discontinued.