Pulmonary Vascular Disease

Question 1

Initial AC of choice in pregnancy w/ VTE?

Answer 1

LMWH

Question 2

Fluid strategy with PE?

Answer 2

Avoid excessive fluids due to ventricular interdependence. Pressors early with NE or dobutamine.

Question 3

when giving systemic tPA for massive PE, what are 5 CNS contraindications and 4 other indications?

Answer 3

• Intracranial CA.
• <2mo CNS surgery / trauma.
• Hx hemorrhagic CVA.
• <2 mo ischemic CVA.
• Uncontrolled HTN.
• <6mo internal bleeding.
• Bleeding diathesis.
• Surgery within 10 days.
• thrombocytopenia.

Question 4

Who gets IVC filters for VTE?

Answer 4

PE patients with contraindications to AC.

Question 5

Definition of pulmonary hypertension?

Answer 5

mPAP > 20

Question 6

Definition of pulmonary arterial hypertension?

Answer 6

mPAP > 20. Pulmonary vascular resistance >=3.