Altitude Physiology Flashcards

1
Q

Who created the first altitude chamber

A

Paul Bert

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2
Q

What are come common signs of hypoxia that are subjective

A

Air hunger, apprehension, fatigue, nausea, dizziness, vision issues, hot and cold flashes, numbness, tinging, denial

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3
Q

Signs of hypoxia that are visual

A

Hyperventilation, confusion, poor judgement, unconsciousness, slouching

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4
Q

What army regulation speaks of unpressurized aircraft and oxygen use

A

AR 95-1 para 8-6

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5
Q

On flights above 10,000 ft for more then how long will you need oxygen

A

One hour

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6
Q

On flight for longer then 30 min at how many feet will you need oxygen

A

12000

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7
Q

On flights at 14000 feet when do you need to have oxygen

A

At all times

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8
Q

For flights over 18000 ft what are the protocols

A

Pretreatment with oxygen for no less then 30 min then oxygen through the whole flight

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9
Q

What are the four stages of hypoxia

A

Indifferent, compensatory, disturbance, critical

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10
Q

When does the indifferent stage of hypoxia normally start and look like

A

SPO2 Saturation 98-90% Decreased night vision @ 4000 feet Loss of acuity Loss of color perception Altitudes Sea level - 10,000

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11
Q

When does the compensatory stage of hypoxia start and look like

A

Altitudes 10,000-15,00 SPO2 89-80% Imparted efficiency drowsiness, poor judgment decreased coordination

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12
Q

Disturbance stage

A

Altitude 15000-20000 Spo2 79-70% Memory issues, impaired judgments, poor judgment, drunk, blurred vision, slurred speech, bad handwriting

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13
Q

Critical stage

A

Altitudes 20000 ft up 69-60 spo2 Loss of consciousness, convulsions, death brain cell death

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14
Q

What are some factors that effect hypoxia

A

Altitude, ascent rate, temperature, activity level, physical fitness, self imposed stressors

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15
Q

At 43K+ feet what is your time for useful consciousness

A

9-12 seconds

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16
Q

40k feet what is the time of useful consciousness

A

15-20

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17
Q

35 k feet what is the useful time of consciousness

A

30-60 seconds

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18
Q

At 30k feet what is the useful time of consciousness

A

1-2 min

19
Q

At 28k feet what’s the useful time of consciousness

A

2.5-3

20
Q

At 25 k feet what’s the useful time of consciousness

A

3-5 min

21
Q

At 22 k feet what’s the useful time of consciousness

A

8-10 min

22
Q

At 18k feet what’s the useful time of consciousness

A

20-30min

23
Q

What does hyperventilation lead to

A

Loss of CO2 in the blood leading to respiratory alkalosis

24
Q

Causes of respiratory alkalosis

A

Emotional, positive pressure breathing, hypoxia

25
Q

Symptoms of hyperventilation

A

Tingling, muscle spasms, hot and cold sensations, visual impairment, dizziness, unconscious

26
Q

When do muscle spasms occurs

A

Hyperventilation

27
Q

When does cyanosis occurs

A

Hypoxia

28
Q

What does decreased CO2 in the blood due to the blood flow in the brain

A

Reduces

29
Q

What are the two types of gas dysbarism

A

Trapped gas and evolved gas

30
Q

Boyles law

A

Volume of gas varies inversely with its pressure at a constant temp

31
Q

How can you avoid effects of boyles law

A

Don’t chew gum, drink water, drink soda, don’t eat junk food, off gas is necessary before flying

32
Q

What is barodontalgia

A

Tooth pain due to change in barometric pressure, normally isolated to one tooth, caused by air trapping, refer to dental if you have this issue

33
Q

When do sinus blocks most commonly occur

A

Decent

34
Q

What is evolved gas dysbarism

A

Occurs due to the reduction in atmospheric pressure

35
Q

What does Henry’s law say

A

Amount of gas dissolved in a solution varies directly with the partial pressure of gas over the solution

36
Q

What is type one decompression sickness

A
  • Bends
  • Skin manifestations(Creeps)
37
Q

What is type two decompression sickness

A

Chokes, CNS issues

38
Q

Issues with the CNS and N2 bubbles shows like

A

dull-to-severe headache, partial paralysis, the inability to hear or speak, and the loss of orientation

  • Occurs when N2 gets trapped in the brain or against the spinal cord
39
Q

Predisposing factors to decompression sickness

A

Altitude, ascent rate, fat content, age, exercise, duration of exposure

40
Q

30 min of pre breathing oxygen gets rid of how much nitrogen

A

30% of nitrogen in your body

41
Q

How long should you wait before flying after diving and what army regulation states this regulation

A

24 hours AR 40-8

42
Q

What is the treatment for decompression sickness

A

100% O2, descent, hyperbaric chamber at 3 ATM

43
Q

Question: Hyperventilation _______ carbon dioxide levels in the blood, and the blood becomes more_________. This can lead to a ______ in blood flow and oxygen to the brain?

A

Answer: 1. lowers 2. alkaline 3. reduced or decreased. Ref: TC 3-04.93, 2-91.