13 - Altitude Flashcards

1
Q

at what altitude can an un-acclimatized person lose consciousness within a few minutes during acute exposure to hypoxia?

A

7000 m

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2
Q

T or F: water loss via the respiratory tract is higher at high altitudes

A

true

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3
Q

with increasing altitude, does arterial oxygen increase or decrease?

A

decrease

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4
Q

what happens to cardiac output over the first week at altitude

A

it falls to or below sea level values for the same VO2 and there is progressive increase in O2 extraction

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5
Q

what is the most important long term adaptation to altitude?

A

the increase in the blood’s oxygen carrying capacity

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6
Q

______ start to increase during the first two days at altitude due to a decrease in plasma volume and increase in RBC production by bone marrow

A

hemoglobin

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7
Q

does blood pH increase or decrease at high altititudes?

A

increases

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8
Q

def: condition where blood pH increases above normal pH

A

respiratory alkalosis

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9
Q

what sensory and mental functions decrease in performance at altitude

A
  • visual acuity
  • light sensitivity
  • attention span
  • reaction time
  • cognition and recall
  • pursuit tracking ability
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10
Q

since VO2 max is decreased at altitude, intensity of training must be _______

A

decreased

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11
Q

what are some adaptation to altitude which should increase VO2 max on return to sea level

A
  1. increased hemoglobin concentration

2. local muscle adaptations - increased number of mitochondria, oxidative enzymes

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12
Q

what are some adaptations that hinder performance on return to sea level?

A
  1. decreased maximum stroke volume and max heart rate which persists for a few weeks
  2. increased VE at given workload - extra oxygen goes to respiratory muscles during exercise
  3. decreased buffering capacity of blood for lactic acid
  4. specificity of training
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13
Q

what’s the name of the altitude training often used by high performance athletes?

A

live high - train low

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14
Q

what’s 5 ways top prevent altitude illnesses

A
  1. staged ascent
  2. avoid alcohol and other depressant
  3. high carbohydrate diet
  4. appropriate exercise level
  5. fluid ingestion
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15
Q

when does acute mountain sickness occur?

A

12-36 hours after arriving at altitude and usually lasts 2 to 3 days

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16
Q

what are the symptoms of acute mountain sickness?

A
  • headache
  • fatigue
  • irritability
  • loss of appetite
  • nausea
  • vomiting
  • dizziness
17
Q

what is the treatment for acute mountain sickness?

A

acclimatization or descent

18
Q

def: accumulation of fluid in the alveoli, decreased diffusing capacity for oxygen

A

pulmonary edema

19
Q

what is the direct effect of hypoxia on systemic arterioles

A

vasodilation

20
Q

hypoxia in the lung causes…

A

vasoconstriction

21
Q

what are the symptoms of high altitude pulmonary edema?

A
  • shortness of breath
  • sever fatigue
  • cough (bloody)
  • tachycardia
  • severe headache
  • insomnia
22
Q

what should people avoid for in order to prevent HAPE?

A

sleeping meds
alcohol
sedatives

23
Q

how do you treat HAPE?

A
  • descend to lower alt.
  • diuretics are effective only if fluids are replaced
  • diamox is effective for prevention and treatment
  • dexamethasone
24
Q

def: accumulation of excess fluid in the brain

A

high altitude cerebral edema

25
Q

what are the symptoms of high altitude cerebral edema?

A
  • loss of coordination
  • confusion
  • hallucinations
  • severe headache
  • severe weakness
26
Q

what 4 principles is the treatment of altitude illness based on?

A
  1. stop ascent in presence of symptoms
  2. descend if no improvement or if condition worsens
  3. descend immediately if HACE, loss coordination, or changes in consciousness are present
  4. ill persons must not be left behind or sent down alone