Treatment of Pulmonary Hypertension in Dogs

If your dog is struggling to breathe when you arrive at the vet, he'll most likely be placed on oxygen therapy — this may require overnight hospitalization. He'll also receive medication to open up his breathing passages and, if needed, he'll also be given a diuretic to help remove any excess fluid that's built up in his lungs. It will be determined whether pulmonary hypertension has also caused congestive heart failure, and if so, he'll be given appropriate medications to treat that, as well. Your vet may refer you to a vet that specializes in this area to get a proper diagnosis.
In addition to continuing his medications, ongoing care will require regular follow-ups with the vet to monitor the condition of his heart and lungs, and alter his medications if necessary. If your pup continues taking a diuretic, kidney function may also need to be monitored regularly. He may be given antibiotics from time to time to treat any infections that arise because of his condition. At home, if he's on diuretics he'll need to urinate quite frequently, so you should be prepared for accidents. You'll also need to keep an eye out for any signs of urinary tract infection such as blood in the urine. It's important to keep your dog's environment as stress-free as possible and to limit his physical activity. Check with your vet to see how much his exercise should be restricted. It's also extremely important to keep your dog away from cold air, excessive heat, cigarette smoke and anything else that might irritate his lungs and cause difficulties breathing. If needed, your vet may either write you a prescription for a low-sodium prescription dog food.
Prognosis
Unfortunately, pulmonary hypertension in dogs is a progressive disease with no known cure. It's important to understand that treatment is aimed at improving your dog's quality of life and extending it for as long as possible. Typically, the prognosis for this condition is guarded, meaning that your vet can't be certain how well your dog will respond to treatment. Some dogs only live a few weeks or months after being diagnosed with this condition. However, many dogs respond well to treatment and, with diligent home care, live for many months — and in some cases, years. The only certainty with this condition is that if it doesn't get treated, it will be fatal.
Pulmonary hypertension is a serious illness, but it's not without hope. With the proper care, your dog can enjoy life and be happy and comfortable for quite some time with this condition, giving you plenty of opportunities to provide him with the best medicine of all: your love.