Acute Mountain Sickness: HACE and HAPE
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Questions and Answers

What is the pressure in the veins of the feet when a person experiences a +5G force?

  • 350 mm Hg
  • 200 mm Hg
  • 50 mm Hg
  • 450 mm Hg (correct)
  • What is the fracture threshold for the vertebrae in a sitting position when subjected to acceleratory forces?

  • 15G
  • 5G
  • 10G
  • 20G (correct)
  • What effect does acute negative G force have on the head?

  • Intense momentary hyperemia (correct)
  • Psychotic disturbances
  • Decreased blood flow to the head
  • Vision blackout
  • How does submersion in water help in minimizing the effects of high G forces?

    <p>It reduces blood pooling in the legs</p> Signup and view all the answers

    Why do astronauts typically use reclining seats during launch?

    <p>To better withstand linear acceleratory forces</p> Signup and view all the answers

    What is the purpose of using pure O2 in space missions?

    <p>To reduce the risks of lung problems like ATELECTASIS</p> Signup and view all the answers

    What is the main cause of Acute Cerebral Edema (HACE) according to the text?

    <p>Local vasodilation and increased endothelial cell permeability</p> Signup and view all the answers

    Which of the following effects is associated with Acute Pulmonary Edema (HAPE)?

    <p>Pulmonary dysfunction</p> Signup and view all the answers

    What is a characteristic feature of Chronic Mountain Sickness (CMS) as mentioned in the text?

    <p>Enlargement of the right side of the heart</p> Signup and view all the answers

    What is the consequence of positive G-forces (G+) according to the text?

    <p>Blood pooling in lower extremities</p> Signup and view all the answers

    Which sequence of events leads to Chronic Mountain Sickness (CMS) as discussed in the text?

    <p>Increase in blood viscosity, vasoconstriction of pulmonary arterioles, alveolar arteriolar spasm</p> Signup and view all the answers

    What are the effects of negative G-forces (G-) according to the text?

    <p>Vision impairment, loss of consciousness</p> Signup and view all the answers

    Study Notes

    G-Forces and Physiology

    • Pressure in the veins of the feet can rise significantly under +5G force, leading to increased strain on venous return and potential blood pooling.
    • The fracture threshold in the vertebrae while sitting under acceleratory forces is critical; specific values depend greatly on force vector direction and individual anatomy.

    Effects of G-Forces

    • Acute negative G force can lead to increased pressure in the head, potentially causing visual disturbances or loss of consciousness.
    • Negative G-forces (G-) generally push blood towards the head, causing a risk of high intracranial pressure and cerebral vascular disruption.

    Mitigation Techniques

    • Submersion in water reduces the effects of high G forces by providing buoyancy, distributing body weight, and reducing stress on joints and muscles, thus lowering risk of injury.
    • Astronauts use reclining seats during launch to counteract high G forces, distributing pressure across a larger body area and maintaining blood flow to the brain.

    Oxygen Utilization in Space

    • Pure oxygen is utilized in space missions to reduce cabin pressure and improve oxygen availability, mitigating risks associated with hypoxia and enhancing crew performance.
    • Acute Cerebral Edema (HACE) is primarily caused by rapid ascent to high altitudes, leading to fluid accumulation in the brain.
    • Acute Pulmonary Edema (HAPE) is characterized by fluid buildup in the lungs, often associated with high-altitude conditions and can lead to severe respiratory distress.

    Chronic Conditions

    • Chronic Mountain Sickness (CMS) is marked by symptoms such as excessive red blood cell production, hypoxemia, and diminished exercise tolerance.
    • Positive G-forces (G+) can lead to decreased venous return, potentially causing fainting or loss of consciousness due to reduced blood flow to the brain.
    • The sequence leading to Chronic Mountain Sickness (CMS) involves prolonged exposure to high altitudes, inadequate acclimatization, and physiological stress over time, perpetuating hypoxic conditions.

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    Description

    Learn about the causes and effects of Acute Cerebral Edema (HACE) and Acute Pulmonary Edema (HAPE) associated with Acute Mountain Sickness. Understand how local vasodilation and inflammatory cytokines contribute to these conditions.

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