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Management of Altitude Sickness
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Management of Altitude Sickness

Partners should observe each other following potential danger signs

  • Persistent coughing
  • Skipping meals
  • Acting in an antis social manner
  • Fequent stumbling or losing footing
  • Refusing to drink
  • Apparent inability to take part in the normal activities of the group.

The severely affected patient must be moved to a lower altitude. A descent of 2,000–3,000 feet may be required. Partners must remember that altitude Sickness often causes disordered thinking and impaired judgment. Left alone, the patient can rapidly progress into the unconsciousness within 12–24 h.3

Drug Therapy

Acetazolamide has been beneficial in preventing Altitude sickness (AS), in a dose of 250–1,000 mg/day starting 12–24 h before the high-altitude exposure and continuing for 3–4 days.2 It hastens acclimatization and reduces the risk and severity of Altitude sickness (AS).1

Dexamethasone may also be helpful in treating many symptoms of Altitude sickness (AS) and managing cerebral edema.4 It is not an alternative to acetazolamide since it does not affect respiration and does not speed acclimatization. High dosages are required, which lead to unpleasant adverse reactions.

Written by: Healthplus24 team
Date last updated: July 03, 2011

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References 
  1. Procelli MJ, Gugelchuk GM. A trek to the top: A review of acute mountain sickness. J Am Osteopath Assoc. 1995; 95(12): 718–720.
  2. Harris MD, Terrio J, Miser WF, Yetter JF 3rd. High-altitude medicine. Am Fam Physician. 1998; 57(8): 1907–1914, 1924–1926.
  3. Reynolds SE. The illness of ascent: Acute mountain sickness. J Am Acad Nurse Pract. 1997; 9(11): 527–531.
  4. Coote JH. Medicine and mechanisms in altitude sickness. Sports Med. 1995; 20(3): 148–159.
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