A 45-year-old male patient with known pulmonary hypertension is being airlifted from a rural hospital to a tertiary care center for advanced management. During the flight, the patient begins to exhibit signs of worsening shortness of breath, chest pain, and lightheadedness. What is the most appropriate immediate action to take?
Administer oxygen and ensure adequate oxygenation
Administer vasopressors to maintain blood pressure
Administer intravenous diuretics to reduce fluid overload
Administering oxygen and ensuring adequate oxygenation is the most appropriate immediate action. Pulmonary hypertension can lead to hypoxemia and exacerbation of symptoms, making oxygenation crucial. Unlike ventilation, which is more invasive, supplying oxygen can quickly alleviate symptoms and stabilize the patient while minimizing potential complications. Intravenous diuretics and vasopressors can be considered but are typically part of subsequent, more advanced treatment regimens and require careful monitoring of the patient's hemodynamic status.
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