Altitude and Exercise Flashcards
how does High altitude impact exercise?
Exercising at High altitudes will cause:
- DECREASE in barometric pressure- consequences
- Adjustments to high altitude (necessary)
- Performance enhancement
Describe the relationship between the volume of gas, pressure, percentages of Oxygen and nitrogen. What happens to these values as you go to higher altitude?
The volume of gas varies INVERSELY with pressure, BUT the relative percentages of Oxygen and Nitrogen remain the SAME
- As you move to higher altitude, the percentage of O2 and Nitrogen are NOT changed, but pressure changes
- it is easy to calculate the partial pressure of O2. .
What happens to barometric and partial pressure pressure as you reside in altitude?
As you rise in altitude, barometric pressure (air pressure) DECREASES and Partial pressure Drops Dramatically
- Partial pressure of O2 (ambient oxygen) follows barometric pressure
- it is always 21% of total barometric pressure
Describe how the level of partial pressure in atmosphere (ambient O2) impacts the amount of Oxygen in lungs (PAO2)
The less O2 in the atmosphere (Ambient O2), the Less O2 in alveoli of LUNGS.
-the lower partial pressure of oxygen, the lower the PAO2 (alveoli of lungs);alveoli (air sacs of lung)
lines for ambient O2 and PAO2 are Parallel.
Why is this important to humans
As you decrease partial pressure of O2, the amount of O2 you take in lungs decrease it.
As you rise in higher altitude (different levels above sea level), the levels of PaO2, partial pressure of O2 in blood is REDUCED, then levels out.
-if no more O2 In blood, you will get lethargy, general weakness and impending collapse.
any paO2 levels lower than 50, you collapse.
What happens to PAO2 if PO2 decreases? Why is this important to humans? How is PaO2 (partial pressure of O2 in blood) affected?
As you decrease partial pressure of O2, the amount of O2 you take in lungs decrease it.
As you rise in higher altitude (different levels above sea level), the levels of PaO2, partial pressure of O2 in blood is REDUCED, then levels out.
-if no more O2 In blood, you will get lethargy, general weakness and impending collapse.
any paO2 levels lower than 50, you collapse.
How does low levels of partial pressure of O2 affect inspired O2? How this affect O2 levels in blood.
At high altitude, partial pressure of O2 inspired will decrease.
* If the amount of O2 in air is lower, the amount of O2 inspired will be LOWER.
if the amount of O2 inspired is lower, the amount of O2 moved from lungs to blood will also be lower.
at what level of altitude will one need to live with Oxygen tank?
above 18,000 ft, you cannot live without Oxygen tank.
above 12,000 ft, you have affects.
What is hypoxia? How can hypoxia occur? How does it affect partial pressure of O2 inspired, PAO2 and PaO2?
Hypoxia can occur, when you have too little oxygen in atmosphere at high altitudes
Hypoxia will cause their to be LESS O2 Inspired, partial pressure in atmosphere (PO2) DECREASED, partial pressure of O2 in alveoli of lungs (PAO2) DECREASED and Pressure of O2 in blood will Decrease as well.
Describe the pathway of hypoxia and its affects on different partial pressures? What does a decrease in partial pressure of O2 in blood lead to? What is the result of this?
Hypoxia–> decreased PIO2, –> PAO2–> PaO2–> Disruption in Homeostasis
A decrease in partial pressure of O2 leads to Disruption in homeostasis- as all cells must work at lower partial pressure of O2, which disrupts homeostasis
The disruption of homeostasis results in adjustments in cardiovascular, respiratory, endocrine systems.
What happens to partial pressure of inspired oxygen if barometric pressure is decreased?
If barometric pressure is reduced, partial pressure of inspired oxygen is also decreased.
How do you calculate PIO2 (partial pressure of Oxygen inspired air) at sea level?
Calculate PIO2 (partial pressure of inspired O2):
At sea level:
PIO2= barometric pressure- water vapor pressure) x percent of Oxygen
ex: PIO2: (baro- water vapor pressure) x 21%= 150 mmHg
what is the partial pressure of O2 in lungs?
partial pressure of O2 in the lungs: about 105 mmHg
Describe the adaptive respiratory responses
Adaptive Respiratory responses:
-if you have decreased barometric pressure, alveoli partial pressure of o2 decreases (PAO2)
-if alveoli partial pressure of O2 decreased, Arterial pressure of O2 (blood O2) decreases.
if arterial pressure decreases, that INCREASES VENTILATION (less O2 in lungs, you will breather harder (ventilate)
if you breathe harder, you are expiring More CO2
When you expire more CO2, you take away acidity and get ALKALINITY Arterial pH rises (Co2 + water–> HCO3)
-the more CO2 you breathe out, the LESS acidic your blood will be causing respiratory alkalosis
-overtime (after several days) , Hemaglobin concentration will go UP, because you got less O2.
-kidneys produces EPO that will signal bone marrow to make more red blood cells and increase Hb [ }
-When you have less O2 or more ALKaLINE, you will make 2,3 BPG, which shifts the O2-Hb curve to the RIGHT.
When this shift curves right, there will be an INCREASE in pulmonary vascular resistance, due to CONSTRICTION of lung blood vessels.
Increase in pulmonary vascular resistance, the pulmonary arterial pressure INCREASES (stressing the heart)
What molecule does kidneys produces that enhances performance?
Kidneys produce Erythropoeitin (EPO), the performance enhancing drug that some athletes use.
EPO will signals bone marrow to make more red blood cells, increasing Hb (hemoglobin)
What are the major effects of decreased alveolar Po2?
Major effects of Decreased Alveolar PO2:
1. Ventilation
2. decreased arterial blood (PaO2), and increase in pH (respiratory alkalosis) due to breathing harder
3. Pulmonary blood flow
-Increased pulmonary resistance (due to hypoxic vasoconstriction) , causing increase in pulmonary artery pressure and hypertrophy of right ventricle (you get more musculature to Right ventricle, since RV supply blood to lungs)
4. O2-Hb curve shifts RIGHT: Increase in 2,3 BPG (due to less O2 made) which shifts O2-Hb curve right,
also increase in P50 and Decreased affinity for O2.
lower affinity for O2 means O2 will be able to be released from Hb more readily.
what led to the decrease in alveolar pressure of O2?
High altitude caused a decrease in atmospheric partial pressure of O2 (P atm) which causes a Decrease in alveolar pressure (PAO2)
*Describe the changes in ventilation that occurs at high altitude
Changes in ventilation:
-HYPERVENTILATOIN (breather harder) occurs in response to Lowered Oxygen tension
-CO2 + H2O <–> H2CO3 <–> H+ + HCO3
-if CO2 in equation goes down (when blowing Out CO2), the equillibrium shifts to left and produce less H+ (causing pH to goes up)
-Acute respiratory alkalosis occurs, which reduces ventilation initially
-Body quickly Acclimatizes and Kidney secretes HCO3-(bicarbonate)
bicarbonate will try to lower pH
Why is respiratory alkalosis so dangerous?
respiratory alkalosis is very dangerous because:
person can pass out; respiratory alkalosis REDUCES respiratory drive. People cannot breathe because there is no driving force (brain tells them not to breathe).
People who get panic attacks, breathe a lot of Co2 out, which can lead to respiratory alkalosis.
*What causes respiratory alkalosis? Where is this commonly seen?
Respiratory alkalosis is caused by someone breathing out CO2 too fast
commonly seen in people who are having panic attacks and hyperventilating
What is method used for people who hyperventilate?
People who hyperventilate (while having anxiety or panic attacks) will use paper bag to breathe out CO2 in bag and breathe in some of CO2, decreasing pH and helping with respiratory drive.
*What occurs during hypoxic vasoconstriction? what happens when too much musculature on right side of heart?
Hypoxic vasoconstriction:
- vascular constriction occurs in Lung vessels due to LOWERED Oxygen tension
- INCREASED pulmonary resistance
- INCREASED pulmonary arterial pressure to maintain blood flow
- May cause hypertrophy of right heart
- this is because build up too much muscle in right side of heart allaying heart to become stiff and it gets harder for heart to beat (no compliance, which can cause cause heart failure)
What happens to ventilation at altitude ?
You Breathe MORE at Altitude
Ventilation increases at higher altitude
*what occurs in the OxyHb dissociation curve at altitude of 4300 m? How much should Hb be normally? What is a sensor used for on finger? What happens when your Hb saturation is below 90%
In the OxyHb curve:
at altitude of 4300 m, the Hb of resting subject is approximately 85% saturated
Hb should be 95-100% saturated
The sensor on your finger will sense saturation (how much of Hb is saturated with O2).
-anything below 90% saturation of Hb- will cause patients to be in the ICU.