A sixty year old woman is admitted to the hospital after complaining of fatigue, dyspnea, and swelling of her ankles. Sh...
A sixty year old woman is admitted to the hospital after complaining of fatigue, dyspnea, and swelling of her ankles. She has to sleep propped up and has a history of chest pain. She has JVD and a ventricular ejection fraction of 0.3 (normal is 0.55). Her systolic pressure is 100 mmHg and she appears cyanotic. Discuss what you think is going on with her, and what treatments you might recommend to alleviate her symptoms.
Homework Answers
- The diagnosis is the pulmonary hypertension.It is a type of high blood pressure that effects the arteries of the lungs and the right side of the heart.
- In pulmunory hypertension the tiny arteries and arterioles of the lungs become narrow and it eventually leads to the increased pressure within the lungs arteries.This causes the right ventricle to pump more blood to the lungs causing the heart muscle to weaken and fail.
- Treatment:Blood vessel dilators( Vasodilator): They open the narrowed blood vessels.Drug is epoprostenol.Endothelin receptor antagonist: These reverse the effect of endothelin which causes blood vessels to narrow drug is bosentan.Digoxin is preferred to beat the heart strongly and pump more blood.Oxygen therapy should be given to treat apnea.Diuretics are given to removes excess fluid from the body.
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