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Mohammed Sharique Ahmed Quadri Assistant professor ,Physiology KFMC , Riyadh 20/12/09
mmHg i.e. half of the normal sea level value (760 mmHg)
As the PO2 of inspired air is 21% of atm pressure , at this
altitude PO2 becomes 80 mmHg, & alveolar PO2 being even lower at 45 mmHg
And as the arterial PO2 always equilibrated with alveolar
10000 ft or more experience symptoms of acute mountain sickness attributable to hypoxic hypoxia
4-8 days
peripheral chemoreceptors which leads to increase respiratory rate ( hyperventilation) respiratory alkalosis .
difficulty of breathing & rapid heart rate & nerve dysfunction ,Dizziness & incoordination . & unacclimatized person may land in coma followed by death .
the capillary leakage in mountain sickness progresses to frank brain swelling, with ataxia, disorientation, and in some cases coma and death due to herniation of the brain through the tentorium. is a patchy edema of the lungs that is related to the marked pulmonary hypertension . It has been argued that it occurs because not all pulmonary arteries have enough smooth muscle to constrict in response to hypoxia, and in the capillaries supplied by those arteries, the general rise in pulmonary arterial pressure causes a capillary pressure increase that disrupts their walls (stress failure).
All forms of high-altitude illness are benefited by descent to lower altitude and by treatment with the diuretic acetazolamide In high-altitude pulmonary edema, prompt treatment with O2 is essentialand, if available, use of a hyperbaric chamber Nifedipine, a Ca2+ channel blocker that lowers pulmonary artery pressure
increases as the diver descends under water as a result of weight of sea water pressure at the sea debt of 30 ft
Pressure almost doubles the atmospheric As amount of gas in a solution is directly Air is composed of 79% of the N2
Nitrogen narcosis :
At sea level N2 is poorly soluble in tissue fluid
But the high PN2 that occurs in deep sea diving causes more of the N2 than normal to dissolve .that leads to N2 narcosis
N2 narcosis has characteristics similar to that of alcohol
neurons because of the highly lipid soluble N2 dissolving in their lipid membrane & altering the ionic conductance
Diverse may experience euphoria & becomes drowsy and at
still lower depth they becomes clumsy & weak & may become unconciouse
Decompression sickness :
If the divers who has been submerged long enough for a
significant amount of N2 to dissolve into tissue ,suddenly rises to surface ,rapid reduction in PN2 causes N2 to quickly come out of the solution & form bubbles in the body
Consequences depends upon amount & location of the
bubbles formed ,this condition is called as decompression sickness or bends because victim often bends over because of joint or muscle pain .
Bubbles in pulmonary capillaries are apparently
occur
O2 toxicity(super oxide free radicals)
caused by Increase in PO2 is another possible harmful effect of deep sea diving
Oxygen toxicity
Nitrogen narcosis
High-pressure
nervous syndrome : Tremors Somnolence Decompression sickness : Pain Paralyses Air embolism : Sudden death
The PO2 of blood flowing into the pulmonary capillaries falls from 40 to 25 mm Hg or less, so that the alveolar-capillary PO2 gradient is increased and more O2 enters the blood. Blood flow per minute is increased
stimulate increased ventilation during exercise are not fully understood, they probably include: 1. Learned responses:Ventilation increases within seconds of the beginning of exercise, probably in anticipation of exercise, a learned response. 2. Neural input from the motor cortex.: The motor areas of the cerebral cortex which stimulate the muscles also stimulate the respiratory centers. 3. Receptors in muscles and joints: Proprioceptors in moving muscles and joints stimulate the respiratory centers. 4. Increased body temperature: An increase in body temperature stimulates the respiratory centers. 5. Circulating epinephrine and norepinephrine:secreted by the adrenal medulla stimulates the respiratory centers. 6. pH changes due to lactic acid: Lactic acid, produced by exercising muscles, is another stimulus.
References
Text book of physiology by Guyton & Hall review of medical physiology by william F.Ganang Text book of physiology by Linda .S .Costanzo third
edition