Altitude Flashcards

1
Q

Define altitude

A

the height of an object or point in relation to the sea or ground level (3000m)

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2
Q

True or false: High altitude has decreased temperature and pressure, but increased radiation.

A

True

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3
Q

What is defined as high altitude? (2 possible answers)

A

3000-6000m
or
1250-3500m

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4
Q

What is defined as low altitude?

A

Below 1250m

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5
Q

A peak of a mountain is 6000m above sea level. What altitude classification does this fit

A

Severe or Extreme

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6
Q

What are the dalton’s law values?

A
  • O2 20.93%
  • CO2 0.03%
  • N2 79.04%
  • Pressure= 760mmHg (sea level)
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7
Q

What is Dalton’s law

A

The partial pressures of oxygen = fractional concentration x total gas pressure

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8
Q

Define hypoxia

A

The inadequate supply of oxygen to respiring tissue

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9
Q

WHat are the two types of hypoxia, affected by pressure

A

normobaric or hypobaric.

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10
Q

Define the O2 Cascade

A

A reduction in PO2 causes a decrease in pressure for gas exchange. O2 sats fall as altitude increases, due to a decrease in this oxygen cascade of pressure.

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11
Q

Describe Acute Mountain Sickness

A

Headache, nausea, fatigue

Caused by ascending faster than 500/m a day/vigorous exercise

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12
Q

Describe High Altitude Pulmonary Oedema

A

Accumulation of fluid in the lungs, breathlessness, fever and coughing frothy spit
After 2-3 days at altitude >2500m. Fatal in hours.

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13
Q

Describe High Altitude Cerebral Oedema

A

Severe headache, vomiting, confusion, coma

Increase in blow flow to brain is normal. But, if vessels are damaged, fluid may leak out.

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14
Q

Describe the impact of altitude on long and short distance events

A

Short distances perform better at altitude, due to less air resistance, whereas longer distances perform worse at altitude, due to less O2 pressure, and decreased efficient utilisation of O2.

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15
Q

Describe the effect of altitude on the body- minute ventilation path

A

As altitude increases: ppo2 decreases –> increased Ve increasing co2 removal. However, hypocapnia, decreases Ve again.

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16
Q

Describe the effect of altitude on the body- ph path

A

The increased minute ventilation, causes an increase in ph as the co2 is removed. This increases bicarb excretion, causing a fluid shift. This decreases stroke volume and increases Q

17
Q

Describe the effect of altitude on the body- Arterial Oxygen Saturation

A

This decreases causing both: an increase in hypoxic pulmonary vasoconstriction (increasing BP),and increase in EPO, HB and HtC and decreases Hb affinity and unloading

18
Q

What is the immediate respiratory effect of high altitude

A

Hyperventilation

19
Q

What are the 4 main long term effects of altitude

A
  • Increased O2 carrying capacity
  • Decreased plasma volume
  • Increased RBC concentration
  • Increased Hb synthesis
20
Q

How long does it take to adapt to altitude

A

It takes 2 weeks to adapt to 2300m altitude, and 1 week for every further 610m increase.

21
Q

Which long term effect variable affects the other 3 the most

A

EPO increase causes the increase in Hb, HtC and CaO2