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Respiratory system
Respiratory system


Acute mountain sickness

Alternative Names:
High altitude cerebral edema; Altitude anoxia; Altitude sickness; Mountain sickness; High altitude pulmonary edema

Treatment:

The mainstay of treatment for all forms of altitude illness is to descend to lower altitude as rapidly and safely as possible. Supplemental oxygen should also be administered, if available.

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Hospitalization may be required for severe illness.

Acetazolamide (Diamox) may be used to stimulate breathing, speed acclimatization, and diminish the milder symptoms of acute mountain sickness. Do not consume alcoholic beverages while taking Diamox, and drink sufficient fluids since Diamox increases urination.

Pulmonary edema is treated with oxygen, nifedipine (a high-blood pressure medication also effective for this disorder), and in severe cases, mechanical ventilation.

For cerebral edema, administration of the steroid drug dexamethasone (Decadron) may be helpful.



Expectations (prognosis):

Most cases are mild, and symptoms improve promptly with a return to lower altitude. Severe cases may result in death due to respiratory distress or brain swelling (cerebral edema).

In remote locations, emergency evacuation may not be possible, or treatment may be delayed. These conditions could adversely affect the outcome.



Complications:
  • Pulmonary edema
  • Coma
  • High altitude cerebral edema (brain swelling)


Calling your health care provider:

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