Final - Environmental Considerations Flashcards

1
Q

hyperthermia
prone
ex

A

elevated body temp
football, longdistance runners
Vikings - Corey stringer that took stimulants and died

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

heat stress

A

preventable
exercising in hot, humid environments
when outside of body temp - denature of protein and wonky physiological processes
needs to be able to dissipate heat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

body temp can be affected by

A
metabolic heat production = ages and conditions 
conductive heat exchange 
convective heat exchange - gas 
radiant heat exchange 
evaporative heat loss
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

BMR

A

basal metabolic rate - min energy required to sustain body’s vital functions - basic lvl of heat production on chemical rxns of metabolism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

muscular activity and heat production

A

side effect to BMR

strenuous PA - increase BMR 5 times the normal rate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

hormones and BMR

A

several can increase - menopause

stress hormones and thyroxine increase BMR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

dietary intake in metabolic rate

A

increase - works to digest food

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

conduction

A

transfer of heat by direct contact

proportional to SA, temp diff, and density of surrounding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

convection

A

movement of molecules from warm to cool - wind chill

proportional to temp gradient and air flow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

radiant

A

heat from sun increases body temp

body dissipates heat through dilating superficial capillaries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

evaporation of sweat

A

trap and reduce heat when evaporated by 0.58kcal/ml - fat ind insulates the heat
proportional to SA, temp diff
inversely proportional to humidity
rise in core temp -> hypothalamus -> SNS -> increase sweat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

water vapor in expired air

A

cools the body - you will lose water and weight through breathing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

if you are running and dont sweat anymore

A

sign of heat stroke

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

replenshing fluids

A

1:1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

heat index

A

wet bulb globe temp
dry bulb temp - mercury thermometer
wet bulb temp - wet wick/gauze at the end of thermometor and swung in the air
over 90 all training must be stopped

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

heat exhaustion

A

exercise in heat and humidity that increases the body temp secondary to heat from muslce work
dehydration or humid environment affects sweating therefore heat loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

4 at risk of heat illness

A

hot and humid
dehydration
lack of fitness
unacclimatized - at least one day before

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

mild heat illness - 3

A

heat fatigue - tiredness and weakness, occasionally headache - drink more water , vessels are dilated so dont get up and run
heat cramps - muslce tightness and spasms, usually calf and thigh
heat syncope - fainting episode immediately after exercise

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

moderate heat illness

A

heat exhaustion - weakness, headache, dizziness, nausea - occasional mild confusion
Loss of consciousness - if cont - mild reduction in BP and increase in HR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

severe heat illness

A

heat stroke - reduced consciousness
hot dry skin
low BP and rapid pulse

21
Q

diagnosis of heat illness

A

urgent consult with sports physician, usually clinical but electrolytes may be lost

22
Q

treatment of mild heat illness

A

stop, elevate legs, cool drinks

23
Q

treatment of mod heat illness

A

stop, shelter from heat, ice to neck armpits and groin, cool drinks

24
Q

treatment of severe heat illness

A

stop, remove from environment, ice to neck, armpits and groins, fluid replacement
conscious - cold fluids - glucose/electrolyte, 5% glucose or water downed tomato juice
unconscious - intravenous fluids
may hospitalize

25
Q

7 preventing heat illness

A
fluid and electrolyte replacement 
gradual acclimatization 
identify susceptible ind 
wicking uniforms 
weight records 
temp and humidity readings 
fluid and electrolyte balance
26
Q

fluid and electrolyte balance

A

athletes need to replenish fluids bc they sweat regardless
cold more readily absorbed
hypohydration - decreased muscular strength and endurance, decreased blood and plasma volume, altered cardiac function, loss of electrolytes
commercially prepared drinks - slow gastric emptying due to sugars
activities >45 mins from 5% solution of polymerized glucose - before and after competition

27
Q

gradual acclimatization

A

accustomed to heat and exercise in hot temps

preseason program before competition

28
Q

susceptible ind

A

large muscle mass/overweight

poor fitness, hx of heat illness and sick

29
Q

uniforms

A

light weight - polypropylene to wick sweat away

30
Q

weight records

A

1.1-1.5% of water can be lost before you see a drop in performance
3-5% drop in blood volume, only allowed to cut 5%

31
Q

temp and humidity

A

DBT and WBT should be taken before and after exercise - then modify practice

32
Q

hypothermia

A

reduction in core body temp

when it loses more heat than it can produce

33
Q

4 ways to lose heat

A

conduction
convection
radiation - loss to nearby objects
sweating - evaporation

34
Q

3 at risk for hypothermia

A

water, alpine, endurance sports

35
Q

mild hypothermia - 6

A
cold extremities 
shivering 
increased HR and BR
urgent desire to pass urine 
slight uncoordination
36
Q

mod hypothermia - 7

A
tiredness and weakness 
increased uncoordination 
reduced shivering and slurred speech 
poor mem 
drowsiness, poor judgment 
dehydration
37
Q

severe hypothermia - 7

A
stop shivering 
inappropriate B 
reduced consciousness 
muslce ridigidy 
low BP and HR 
irregular HR 
fluid accumulation in lungs
38
Q

treating mild hypothermia

A

remove from cold
remove all wet clothing and cover with dry blankets - if cant - put them in a plastic bag below the neck
space blanket
warm drinks

39
Q

treating mod hypothermia

A
remove from cold 
remove all wet clothing and cover with dry blankets - if cant - put them in a plastic bag below the neck 
space blanket 
gentle 
hospital
40
Q

treating severe hypothermia

A

gentle
urgent transfer to hospital
ICU and active rewarming with close monitoring

41
Q

dangers of hypothermia

A

irregular HR - artial fibrilation, ventricular fibrillation
pulmonary edema - fluid in lungs
aspiration - foreign body into lungs
increased risk of muscular tear - decreased flexibility
numbness and impaired coordination
decreased energy availability - inhibition of breakdown of energy stores

42
Q

7 prevention of hypothermia

A
avoid activity inappropriate for fitness lvls 
avoid activity to exhaustion 
avoid dehydration 
ensure adequate nutrition 
appropriate clothing 
warm up appropriately 
plan and communicate with others
43
Q

frost bite

A

freezing of tissues due to exposure of extreme cold - peripheries
superficial - superficial layers of skin
deep - full thickness of skin and deeper issues

44
Q

risk for frost bite

A

activities in extreme cold - alpine events

45
Q

symptoms of superficial frost bite

A

burning local pain
numbness
pale and grey skin - red after thawing
blisters

46
Q

symptoms of deep frost bite

A

extreme pain
numbness
frozen block of hard white tissue with areas of gangrene and blood blisters if severe

47
Q

treatment of superficial frost bite

A

thaw but direct contact with body heat - dont thaw unless prevention of refreeze - dont rub

48
Q

treatment of deep frost bite

A
hot water bath - whirlpool with antiseptic 
hospitalization 
pain killers 
antibiotics for infection 
special intravenous fluids 
delayed surgery