Ross - Altitude Flashcards
at what altitude does increased ventilation begin
4921
normal physiologic response to acclimatize
peripheral vasoconstriction → triggers baroreceptors → suprresses ADH/aldo → diuresis
normal sx of altitude (4)
exertional dyspnea
diuresis → decreased stroke volume
nocturnal periodic breathing
night awakening/weird dreams
4 high altitude syndromes
acute hypoxia
acute mountain sickness
HACE
HAPE
3 at risk pops for altitude syndromes
previous AMS
rapid ascent
decreased respiratory reserve
sx of acute mountain sickness
HA
GI
dizzy
sleep disturbance
can you have acute mountain sickness w.o ascent
nope
4 tx for acute mountain sickness
O2
descent
acetazolamide
+/- pressure bag
ataxia, extreme weakness, AMS, +/- personality changes
HACE
tx for HACE (5)
O2
descent
acetazolamide
dexamethasone
hyperbaric chamber
non cariogenic edema, dry cough, decreased exercise tolerance
HAPE
what altitude does HAPE start at
8200
what is this showing
pulmonary edema
tx for HAPE
O2/CPAP
descent
minimize exertion/cold exposure
nifedipine/acetazolamide/sildenafil
hyperbaric chamber
exposure to altitude not recommended in what 5 dz states
CHF
COPD
sickle cell
pHTN
HTN