Week 13 Flashcards

1
Q

how does your body respond to a cold environment?

A

Increase metabolic rate:
Voluntarily: exercise increases heat production 10-20x the basal rate.
Involuntarily: shivering increases heat production 3-4x the basal rate.
Increased tissue insulation: peripheral vasoconstriction and blood shunting to deeper vessels.

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2
Q

What are some non-physiological ways you can respond to an environment?

A

proper clothes, seeking shelter, starting a fire.

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3
Q

what are factors that affect one’s response to the cold?

A

Skinfold Thickness: Thicker fat layers = greater insulation.
- Women have more subcutaneous fat but lose heat faster due to higher surface area-to-mass ratio.
- Children have an even higher surface area-to-mass ratio, making them more vulnerable.

Clothing:
- Insulation depends on air layer next to skin, clothing thickness, and air trapped between layers.
- Wind and wet conditions reduce insulation.

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4
Q

Hypothermia

A

Diagnosed when core body temperature falls below 35°C.

Affects core organs: brain, heart, lungs, blood, liver, kidneys.

Critical areas for heat loss: head, neck, groin, and sides of the chest.

Shivering stops at 32-34°C; death occurs below 24-28°C.

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5
Q

Factors associated with hypothermia?

A
  • immersion in cold water or wet clothing
  • wind
    -physical exhaustion
  • not enough clothes
  • low percent fat
    -hypoglycemia: impaired thermogenesis, reduced shivering- don’t have enough blood sugars so they will be cold.
  • alcohol consumption: reduced shivering, more blood flow to skin (asian flush) impaired judgement
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6
Q

How does hypothermia affect the oxyhemoglobin dissociation curve?

A

when you’re cold, it will shift to the left because:
yellow to teal:
higher the saturation, less likely your blood delivers oxygens to tissues. when going to high oxygen to low oxygen, your body will still hold on to it.
results in relative hypoxia (lack of O2 from heart to brain) increased lactic acid output, metabolic acidosis. depressed brain function, cardiac output meaning you’ll have poor control on heart rhythym which will lead to ventricular fibrilation and death.

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7
Q

What about frostbite?

A

occurs when superficial tissues freeze when skin temp reaches between -2C- to -6C.
- your body wont realixe because the sensory nerves are blocked and become numb

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8
Q

is it better to inhale through your nose or mouth?

A

it doesnt matter
through nose: filters a bit
through mouth- ppl believe the air doesnt get warmed up (that’s a lie your body will always warm it up to 37C and saturate it with water vapor)

throat irritation due to dry passageways

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9
Q

°**How does cold effect performance?

A

not good
decrease in strength, power, flexibility due to decrease in:
- nerve conduction time
- reaction time
-manual dexterity
marathon running:
- optimal temp is lower cause when running your body generates a lot of heat so we need less circulation for heat dissipation
- allows more circulation to working muscle.
9:03am

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10
Q

Cold Expose is good or bad?

A
  • can result in dramatic heat loss
    water is 25x more conductive than air
    -cant survive in water even for a couple hours even if the water is just 10 degrrees celsius
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11
Q

environment physiology (underwater)

A

pressure changes changes the gradient in gas exchange

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12
Q

What is presure of air at sea level?

A

1.0 atmospher or 760 mmHg

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13
Q
A

as a diver goes deeper, the hydrostatic pressure above them increases

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14
Q

What happens to body tissues under pressure?

A

Body is made of water and water is not very compressable.
- we also have air pockets that ARE compressable.

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15
Q

what is boyle’s law

A

For every unit of incresase in volume, we get a decrease in pressure.

Valpha1/P

if pressure is doubled volume is halved

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16
Q

*** What is snorkelling?

A

There are limits to snorkeling due to:
1. pressure effects
- cant have a longer tube cause of the changes in anatomical dead space (tube is dead space so you have to push through cause its too much resistance to try and breathe through)
- diver must inspire air at atmospheric pressure
at 3ft deep, the compressive force of water against chest cavity is much higher than the force the inspiratory muscles (body cant overcome that opressure)

  1. increase in pulmonary space:
    - Va(mL)+Vt-VD
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17
Q

***What is breath holding diving?

A

remember residual volume (air you can never breathe out)
diving deeper and deeper, pressure is increased. if you compress your lung, it will damage your lung cause they squeexe cause blood might bleed into your lungs (the condition is callwed lung squeeze)

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18
Q

What is breath hold diving?

A
  1. diver hyperventilates and hold breath (get as much oxygen as possible so survives under water for longer- not correct)
  2. when diver gets to a certain depth, pressure will increased a s a reuslt of compression. if my oxygen is increassed and it continues to due so, my volume will decrease.
  3. okay now i decide to come up so pressure will decrease and it will decreases to an extent
  4. the pressure decrewszes below critical point that body needs to be alert.
  5. diver loses consciousness and drowns
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19
Q

What are some potenitial medical problems associated with scuba diving?

A

7 problems

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20
Q

Why do we wear tanks when scuba diving?

A
  • to overcome pressure exerted on you when youre diving.
  • need an opposing pressure when you’re diving. the tank gives additional pressurized air so you can dive.
  • open circuit scuba: activated by changes in pressure
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21
Q

What is Air Embolism?

A
  • anoything that obstructes the blood vessel.
    ussualy air.
    can cause heart attack or stroke

During diving:
- diver inhales and indlates lungs and descends.
- diver holds breath and comes up
- Alveolie pressure decreases and alveoli volume decreases
alveoli expands and ruptures
- air bubbles enters blood vessels
- heart attack happens

22
Q

**What happens when you rupture alveoli?

A

Pneumothorax: lung collaps
1. rupture
2. air pocket dorms
expansion of trapped air

23
Q

What is nitrogen narcosis?

A
  • partial pressures of gases remain consistent
  • at depths over 100 ft, increased partial pressure and quantity of dissolved nitrogen produces an anesthetic effect on the central nervous system
  • go deeper, pressure increase, now higher pressure of nitrogen, im gonna hallucinate.
    (kind of like alcohol chargi)
24
Q

what is The Bends (decompression sickness)

A

nitrogen supposed to be in lungs,
N2 to goes to bloodstream vs joints. We can get something called bends when nitrogen bubbles goes in to resitricted areas.
- increases area between knees (like your limbs are being pulled apart)

25
Q

***What is treatment for The Bends

A

start to feel them at a joint level:
- put person back into a high pressure environment and where it slowly decrease.
- if bubbles lodges in artery:
- recompression: a hyperbaric chamber to force the nitogen gas back into solution and then slow decomprression

26
Q

***How to prevent the bends (9:26am)

A
27
Q

Oxygen poisoning

A
  • occurs when the inspired PO2 exceeds 1520 mmHg for longer than 30-60 minutes
  • effects:- irritation of respiratory passages which progresses to pneumonia if exposure continues,
  • muscle twitching
  • confusion
  • convulsions
  • nausea
28
Q

***What is Mask Squeeze?

A

similar to lung squeeze as you desscen, pressure increases and youre body is trying to fina way to equalize it.
- mask should cover eyes and nose so pressure can be equalized with outside ambient pressure.
otherwise it will cause a vaccum like seal

29
Q

what is middle air squeeze?

A

-
- if the tube is blocked
pressure changes which will draw blood out.
hemorrage (ear bleeds)

30
Q

***What is Heat Balance?

A

Humans are homeotherms, we use behavoural and physiological mechanisms to regulae core temperature
- Resting Tc is 36.5-37.5 degrees Celsius
0 core is defined as the temperature of the hypothalamus, which is the site of temperature regulation
- during exercisse, Tc can go above 40 (its increase is proportioanl to exercise intensity),

31
Q

***Temperature of core is measured using…?

A
  • rectal and esophageal probes
    -ingestible pills that sends temp signal from the GI system
  • dermal patches for skin temp (skin temp influencd by the environment, metabiloc rate, clothing, and hydration state)
32
Q

What are mechanisms of heat loss?

A
  • Radiation
  • Conduction
  • Convection
  • Evaporation
33
Q

What is Radiation?

A

It is the exchange of electromagnetic energy waves emitted from one object and absorbed by another

34
Q

What is Conduction?

A
35
Q

What is Conection?

A
36
Q

what is Evaporation?

A
37
Q

What about physiological changes in changes in altitude?

A

going higher, atmospheric pressures decrease

38
Q

What are different altitudes and how might they affect anything?

A

moderate altitude- 1500m-3000m

high altitude- greater than 3000m

extreme altitude- over 5500m

39
Q

9:43***

A

Barometric air pressure decreases as altitude increases

40
Q

***9:45
Altitude & the oxyhemoglobin dissociation curve

A

right shift: decreased affinity for red blood cell oxygen and increased offloading of oxygen

  • only a small change in precent saturation of hemoglobin is observed with decreasing PO2 untl altitude is of about 3000m
  • be able to read the table. important thing is the curve is not linear. we have a buffering effect.
41
Q

How does air change with altitude

A

When you go higher, air is colder.
Aboce clouds: exposure to uv radiation is higher

42
Q

*How does altude affect athletic ability?

A

higher altitudes have a favourable effect on sprinting, jumping and throwing events due to:
- less density of air thus less resistance to wor
- force of gravity is decreased with increasing distaance form earth’s center

not good for endurance and strength trainign

43
Q

What is short term, long term, intermediate cardiovascular change

A

VO2 is a byproduct of cardiac output and bodys way of extracting oxygen and how much its used.

Increasing altitude, concentration of arterial O2 decreases, therefore, dcreasing a-v O2 diff.

Short term: cardiac outpit will increase via increase in HR

Intermediate term: O2 extraction increases: right shift in dissociation curve

Long term- body creates more rbc meaning more blood

44
Q

9:55**
What are changes in pulmonary system at higher altitudes?

A

0 decreased alveolar PO2
Decreased arterial PO2 due to to less pressure gradient
Stimulates aortic and carot

45
Q

**9:56am
what are some hyperventilation effects?

A
46
Q

slide 64 (know table)

A
47
Q

Slide 65

A

VO2 max decreases 3-3.5% per 1000ft when you are above 5000ft.even after acclimatizion, VO2 max and time to exhaustion still remains significantly belowe sea-level values

48
Q

How to Prevent Altitude Sickness:

A

Staged ascent - Slow ascent to altitude while climbing
2. Avoid alcohol and other depressant drugs
* eg. barbituates, tranquilizers and sleeping pills
* decreases respiratory drive during sleep resulting in a
worsening of the symptoms.
3. High carbohydrate diet - a diet of at least 70%
carbohydrates reduces symptoms of acute mountain
sickness by about 30% and can be started one to two
days prior to ascent.
4. Appropriate exercise level - until acclimatized, it is
best to exercise moderately, avoiding excessive
5. Drug prophylaxis - there are several drugs that can
lessen the symptoms of high altitude illness. However
their use is not recommended as a routine measure. The
drug of choice is acetazolamide (Diamox).
6. Fluid ingestion - drink lots of water, enough to produce a very
diluted urine. Dehydration is a common cause of headache at
altitude.
7. Keep in mind that different individuals will acclimatize at
different rates. Make sure that everyone in your party is properly
acclimatized before going higher.
* Individual rate of Acclimatization is not related to fitness6. Fluid ingestion - drink lots of water, enough to produce a very
diluted urine. Dehydration is a common cause of headache at
altitude.
7. Keep in mind that different individuals will acclimatize at
different rates. Make sure that everyone in your party is properly
acclimatized before going higher.
* Individual rate of Acclimatization is not related to fitness

49
Q

Acute Mountain Sickness (AMS)

A

Most common form of altitude illness.
=– Can occur at altitudes >2000m (6500 ft.) but more common >3000m
(10,000 ft).
* AMS occurs 12 - 36 hours after arriving at altitude and usually
lasts 2 to 3 days.
* The occurrence of AMS is dependent on the elevation, the rate
of ascent, and individual susceptibility. Many people will
experience mild AMS during the acclimatization process. This
condition is exacerbated by exercise during the first few hours
of altitude exposure.

50
Q

High-Altitude Pulmonary Edema (HAPE)

A

Pulmonary edema - accumulation of fluid in the alveoli à
decreased diffusing capacity for oxygen

direct effect of hypoxia on systemic arterioles is vasodilation.
* However, hypoxia in the lung causes vasoconstriction
– Vasoconstriction better redistributes blood flow to better ventilated
areas of lung
Physiology of HAPE
1. Vasoconstriction in the lung
2. Increased pulmonary vascular resistance
3. Right ventricle must generate a higher pressure
4. Pulmonary hypertension
5. Increased pulmonary capillary pressure
6. Pressure gradient to move fluid from the circulatory system to
the pulmonary interstitial spaces and alveoli.