L20 - acute responses to altitude Flashcards

1
Q

what is altitude

A

low PO2 in the air

-hypoxic

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2
Q

how to work out partial pressure of O2

A

frac conc of o2 in air X total pressure (baromteric - water vapour)

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3
Q

what level of PO2 does the carotid body respond

A

PO2 < 8kPa

- due to les HB saturation of O2

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4
Q

what receptors are stimulated during low PO2

A

peripheral chemoreceptors

- leading to hyper ventilation

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5
Q

fractional conc of O2 in the air

A

21%

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6
Q

what happens to BP when the

A

for every 5500m in the altitude, the PB half by half

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7
Q

why is it hard to predict the size of hypoventilation

A

hypoxia depresses respitatory centres

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8
Q

what happen to PCO2 at an altitude

A

becomes lower

- higher affinity for O2 by Hb

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9
Q

why is it a con for higher affinity for O2 by HB

A

the tissue already has low O2 due to hypoxia so there wont be enough O2 to meet the demand for other tissues

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10
Q

what is cheyne -stokes respiration

A

hyperventile > decrease CO2

  • trigger apnea (breating stops)
  • increase in CO2 and decrease In O2
  • chemoreceptors detect this
  • breaths hard
  • cycle repeated to hyperventilate
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11
Q

eqn for PAO2

A

PIO2- (PAC02/R(0.8))

- 13kpa at sea level

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12
Q

what happen to the diffusion at a higher altitude

A

gets lower so the perfusion decreases

-O2 ocasade from air to the tissues decreases

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13
Q

what happens to the O2 casade when doing hyper ventilation

A

increases

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14
Q

what are cerebral vessel responsive to

A

arterial co2

- hyerpcapnia > vasocontriction

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15
Q

what happens to pulmonary vessel at a higher altitude

A

generalaised vaso con

-lower O2 delivery and O2 saturation so less cognitive function due to less O2 int he brain

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16
Q

what is acute momuntian sickness

A

heachache at an altitude

-

17
Q

causes of acute mountian sickness

A

cerebral oedema > ilation of cerebral arterioles due to hypoxia

pulmonayr oedema > vasoconstriction so higher pul hypertension
- more diffsion distance

18
Q

how does the body compensate for low PO2

A

pH is altered and restored due to the low Co2 alkalosis

  • increased sensitivity of peripheral chemorRs
  • increase in NT activity
19
Q

how does the pH restored

A

the pH of CSF decreases so the HCO3- move out
- decreases reabsorption of HCO3 and H+ in the plasma

  • this counteracts respiratory alkalosis and turn off the inhibtion of C and P chemoR
20
Q

how does 2,3 -DPG help to adapt in higher altitudes

A

decrease O2 affinity by HB so more O2 are unloaded to the tissues

21
Q

adaptation and chnages in chronic hypoxia

A
increased pordution of 2,3-DPG
- new blood vessels
-new RBCs
-carotisd body sensitivity 
-conc of HB increases 
-HCT increases
increases pulm diffusing capacity 
- increased efficiency of mitochondria
22
Q

neg conseq of mountian sickness

A

compensatory responses fails
-Ve decreases
-icnreases in pulm pressure
too much HCT > higher R

23
Q

wht happen to O2 when exercising at higher altitudes

A

V02max decrease by 10% every 1000m

-need higher ventilation