This course gives nurse anesthesiologists a clear, practical framework for safely managing patients with pulmonary hypertension in the perioperative setting. You’ll review current classification and pathophysiology, recognize how PH remodels the right heart and increases perioperative risk, and learn how to tailor anesthetic plans to avoid right ventricular decompensation. Through focused discussion of monitoring strategies, fluid and ventilation management, and evidence-based use of pulmonary vasodilators and anticoagulants, this content equips you to anticipate hemodynamic instability, intervene early, and optimize outcomes in this high-risk cardiovascular population.