Clements - Hyper And Hypobaric Respiration Flashcards Preview

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Flashcards in Clements - Hyper And Hypobaric Respiration Deck (23)
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1
Q

High pressure environments that are encountered regularly

A

Hyperbaric chambers for treatment of some diseases (gaseous gangrene)

Wet pressure (SCUBA)

Construction workers - making tunnels under rivers , use caissons (pressurized workrooms)

2
Q

Pressure increases by 1 atmosphere every _____ you go deeper under water

A

10 meters

3
Q

Mask squeeze

A

Negative pressure in mask can cause capillary rupture and conjunctiva hemorrhage

4
Q

What three things do you have to worry about with compression on descent with scuba?

A

Mask squeeze

Ear drum rupture

Middle ear squeeze

5
Q

Ear drum rupture happens when?

A

Canal blocked by cerumen or ear plugs, increased pressure due to compression on descent

6
Q

Most common problem with divers?

A

Failure to exhale during ascent

7
Q

If a diver holds their breath during a rapid ascent from 10 meters, the air in the lungs will ?

A

Double in volume

8
Q

Oxygen toxicity: in high doses, O2 can cause ?

A

Alveolar and endothelial membrane damage.

9
Q

Anesthetic effects in the CNS, causing divers to act drunk.

Very poor decision-making, up to not caring that the tank is empty.

A

Nitrogen toxicity

10
Q

Caused by nitrogen under pressure

Too rapid of an ascent causes the created of nitrogen bubbles in places that you dont want them

S/s: pain, dyspnea, progression can lead to death.

Treatment: immediate recompression w/ gradual drop in pressure to allow the gas to dissolve slowly

A

Bends

Decompression sickness

11
Q

Low PAO2 stimulates peripheral chemoreceptors so that __________ increases and _________ decreases

A

Alveolar ventilation

PACO2

12
Q

Acute increase in ventilation in altitude adaptation is a response to _________

A

Acute hypoxia, sense by peripheral chemoreceptors

13
Q

What are the 4 main ways the body acclimates to altitude

A

Hyperventilation

Increased hematocrit and blood volume

Increased capillary growth in tissue

Plasma volume decreases

14
Q

5 hours to 5 days at altitudes over 8000 feet

S/s: headaches, nausea, insomnia, weakness, dyspnea.

Symptoms decrease over several days

Associated fluid retention, usually treated w/ diuretic

A

Acute mountain sickness

15
Q

Ataxia & inability to walk heel-to-toe is significant warning sign of impending problems.

Swelling causing brain ischemia and herniation

A

High altitude cerebral edema

16
Q

most serious of
all the altitude pathology, highest mortality. Aggravated by physical exercise, most commonly seen in athletic young males. Mandates return to lower altitude by most expeditious means.

A

High Altitude Pulmonary Edema (HAPE)

17
Q

Primary mechanism of injury in hyperbaric situations

A

Barotrauma caused by the creation of pressure differentials during ascent and during diving

18
Q

Primary mechanism of injury in hypobaric situation?

A

Hypoxia and physiologic changes that deal with body’s attempt to adapt

19
Q

Zone 1 increases with?

A

Anemia, hemorrhage, and positive pressure ventilation

20
Q

Output from the dorsal respiratory group travels -_____

A

Via the phrenic nerve to the diaphragm

21
Q

Problems associated with failure to exhale on ascent?

A

Pneumothorax, dissection of mediastinum, gas emboli, death

22
Q

Symptoms of expansion on ascent due to failure to exhale (remember PV = PV)

A

Dyspnea, cough, bloody sputum, chest pain, subcutaneous air.

23
Q

What do you do for a patient that is having expansion on ascent?

A

Immediate recompression and life support