environmental considerations Flashcards

1
Q

what are some examples of environmental conditions

A

altitude
heat and humidity
lightning

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2
Q

what are the altitude considerations

A

density of the air decreases progressively with ascension above sea level
decreased partial pressure of ambient oxygen
increases difficulty to deliver oxygen to working muscles

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3
Q

what is acute mountain sickness

A

hypoxia at high altitude

rapid ascent to altitude above 8200 ft (<24h)

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4
Q

what are the s/s of acute mountain sickness (10)

A
4-8h after arriving:
headache
dizziness
fatigue
nausea
vomiting
suppressed appetite
insomnia
dyspnea
decreased urine output
tachycardia
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5
Q

what is the management for acute mountain sickness

A

reduction in altitude, acclimatization
physical conditioning
diets high in CHO and low in salt
avoid alcohol

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6
Q

what is a secondary complication for acute mountain sickness

A

high altitude cerebral edema or pulmonary edema

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7
Q

what is hypotremia

A

exercising that leads to low blood Na+
drinking excessive amounts of water thus diluting the Na+ content of blood
loss of Na+ through sweat
arginine vasopressin (increased fluid reabsorption)

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8
Q

what are the s/s hyponatremia (10)

A
headache
confusion
nausea
cramping
bloating
stomach
loc altered
significant mental compromise
swelling in extremities
seizures
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9
Q

what does measuring the heat stress index mean

A

measure the ambient air temperature, humidity and solar radiant energy

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10
Q

what is ambient temp

A

air temp

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11
Q

what is wet bulb temp

A

temp recorded by a thermometer bulb surrounded by a wet wick (used by AT)

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12
Q

what is black globe temp

A

measures radiant energy temp

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13
Q
temp and level of risk
<18
18-23
23-28
>28
A

low
moderate
high
extreme/hazardous

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14
Q

what are heat cramps

A

painful involuntary muscle spasms caused by excessive water and electrolyte loss

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15
Q

what is a heat syncope

A

fainting episode pr dizziness that usually occurs with a prolonged standing or sudden rising from a sitting or lying position

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16
Q

what factors can contribute to heat syncope

A

dehydration and lack of acclimatization

17
Q

t/f heat exhaustion temp does not exceed 38

A

false, does not exceed 40

18
Q

t/f heat stroke temp rises to 40.6

A

true

19
Q

what is the tx for muscle cramps

A

replace lost fluids

mid passive stretching

20
Q

what is the tx for heat exhaustion and stroke

A

rapid cooling of the body
gold standard: ice immersion
electrolytes/fluids if person is conscious

21
Q

with heat stroke what do you do if you can’t do ice immersion

A

wet, iced towels, fans, crushed ice packs on neck, axilla and groin, cool mist machines

22
Q

what is important to know when exercise in thunderstorns

A

lightning to thunder occurs within 30 sec, all outdoor activities should end
participants should seek shelter
wait at least 30 mins after last thunder of lightning before resuming activity
if stuck outdoors, crouched on the ground with head tucked in, do not lay flat