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HIGH ALTITUDE PULMONARY EDEMA (HAPE)
Introduction:
• 3RWHQWLDOO\ IDWDO DFFXPXODWLRQ RI IOXLG LQ WKH OXQJV
• 0RVW FRPPRQ FDXVH RI GHDWK UHODWHG WR KLJK DOWLWXGH
• &RPSOHWHO\ DQG HDVLO\ UHYHUVHG LI UHFRJQL]HG HDUO\ DQG WUHDWHG SURSHUO\
Subjective:
• 6LJQV DQG 6\PSWRPV
o 'U\ FRXJK SURJUHVVLQJ WR FRXJKLQJ VSDVPV DQG VKRUWQHVV RI EUHDWK
o 3LQN IURWK\ VSXWXP
Objective:
• 3K\VLFDO ([DP
o 7DFK\SQHD DQG WDFK\FDUGLD ZLWK ORZHUHG EORRG R[\JHQ OHYHOV
o 5DOHV F\DQRVLV RI WKH OLSV DQG QDLO EHGV
Assessment:
• 'LIIHUHQWLDO
o 3QHXPRQLD IHYHU DERYH ) ZLWK SXUXOHQW VSXWXP
o 3XOPRQDU\ ePEROXV FKHVW SDLQ ZLWK EUHDWKLQJ EORRG FORW LQ OHJ YHLQV
o +LJK DOWLWXGH FRXJK FKURQLF GU\ FRXJK WKDW FDQ RFFXU DW YHU\ KLJK DOWLWXGH QRW
DVVRFLDWHG ZLWK UDOHV VSXWXP SURGXFWLRQ RU RWKHU V\PSWRPV
o $VWKPD KLVWRU\ RI DVWKPD ZLWK ZKHH]LQJ
Plan:
• (YDFXDWH WR ORZHU DOWLWXGH LPPHGLDWHO\ E\ OLWWHU ± ZDONLQJ ZLOO ZRUVHQ symptoms
• 2[\JHQ DW / PLQXWH E\ face PDVN LQVHUW (7 WXEH LI FRPDWRVH
• (9$& RU WUDQVIHU
• Nifedipine can also be used to lower pulmonary artery pressure. Contact preceptor BEFORE
attempting.
Patient Education:
• (DUO\ UHFRJQLWLRQ RI WKH V\PSWRPV RI K\SR[LD DOORZV for HDUO\ LQWHUYHQWLRQ DQG
DYRLGV SHUIRUPDQFH GHFUHPHQW
Preceptor Directive:
• Red Directive: Immediate Evacuation; Contact Preceptor ASAP
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