Pulmonary Edema and Pulmonary Hypertension

Question 1

2 Types of Pulmonary Edema

Answer 1

Cardiogenic (Hydrostatic)

Non-Cardiogenic (wall permeability)

Question 2

Causes/Findings of Cardiogenic Pulm Edema

Answer 2

Usually caused by left heart failure

Kerly B lines might be seen on CXR (lymphatic swelling)

Question 3

Causes of Non-cardiogenic Pulmonary Edema

Answer 3

Widespread injury

DOES NOT IMPROVE w/ DIURETICS

Question 4

Definition of Pulmonary Hypertension

Answer 4

Pulmonary Arterial Pressure >25mmHg

Question 5

5 Classifications of PHTN

Answer 5

1. Arterial PHTN
2. Left Heart Disease PHTN
3. Lung Disease/Hypoxia PHTN
4. Chronic Thromboemoblic Disease PHTN
5. Idiopathic

Question 6

Types of Arterial PHTN

Answer 6

idiopathic, heritable, drugs/toxins, connective tissue disease, portal hypertension

Question 7

CXR, ECG, Lab findings in acute PE

Answer 7

CXR usually normal!
ECG: right heart stress, tachycardia
Las: high A-a gradient, high D-dimer

Question 8

Pulmonary Arterial Hypertension Treatment

Answer 8

Pulmonary vasodilators
Endothelin R antagonists
PDE5 inhibitors (better NO effect)
Prostacyclins (dilation)
Maybe CaCBs

Question 9

Pulmonary Vasodilator Use in Pulmonary HTN

Answer 9

DO NOT GIVE W/ LHF PATIENTS (causes P Edema)