Keypoints

Question 1

Key Points

__________ _________ is common during anesthesia and surgery in hypertensive pts
* PH = MPAP > ____ mmHg, and can result from a range of processes that directly constrict and remodel ______, elevate pulmonary venous ______, or chronically increase blood flow to initiate _____ ______

Answer 1

• Hemodynamic Instability
• 20
• arteries
• pressure
• vascular remodeling

Question 2

Key Points

• PAH represents group #___ of the 5 PH groups defined by WHO
• • Pts with PAH exhibit ________ dysfunction, maladaptive arterial ________, and in-situ ________
• A ______ _____ ______ is required to provide a dx of PAH and guide tx

Answer 2

• 1
• endothelial
• remodeling
• thrombosis
• R heart cath

Question 3

Key points

• What are the 3 primary pulm vasodilator treatments?
• Only a small percentage respond to ____.
• What is the prognosis for PAH?

Answer 3

• prostacyclin analogues, endothelin receptor antagonists, and drugs activating the nitric oxide/guanylate cyclase pathway
• CCBs
• poor
  *

Question 4

Key Points

PAH pts on vasodilators should have them continued ____ + _____ and they should be converted from oral to ______ or ______

Answer 4

• intraop + postop
• IV or inhalation