Altitude Sickness, Cusco, Puno – Soroche 

Published on: 20 de June de 2018 -

Peru Altitude Sickness

Altitude sickness: One of the things that happen to most people when they arrive at high places like the Peruvian Andes or around Cusco city and different walks (Treks) of adventure; one is exposed to low oxygenation when a person is getting sick of Soroche. Most people worldwide live near the coast or with low sea levels; Kondor Path has some recommendations for an enjoyable holiday in these beautiful places.

Against altitude sickness:

  1. Arriving by plane in the Andes: avoid any heavy meal or plentiful, avoid Pisco sour, Cusqueña beer, soft drinks, Coca-Cola, coffee, cigarettes.
  2. Carry Glucose Cora mina tablets that can purchase without a prescription at any pharmacy. Put one tablet in your mouth and feel rapid improvement.
  3. It should be taken daily for 2 to 3 liters of natural water to maintain proper hydration.
  4. You must maintain a high-energy light diet and high carbohydrate, fat-free and small amounts several times a day. Avoid exotic food to which the body does not accustom.
  5. After arriving in the city of Cusco, you must rest and sleep as long as possible.
  6. We recommend taking a hot coca tea with enough coca leaves and a few drops of lemon.
  7. Candies or sweets made of coca leaf are excellent.
  8. Always take a cup of hot lemon tea after meals, and at night, it is advisable to be a cup of tea of chamomile or anise.
  9. Coca tea, sweets, biscuits, and chocolates made with coca leaves are beneficial during the day; avoid eating them before bed because you cannot sleep.

The coca leaf alleviates altitude sickness

Altitude and Oxygen Therapy

A disease occurs when you ascend to greater heights of 2000 M / 6,561 Ft. The acute, sub-acute, and chronic manifestations do cause by the lack of sufficient time for acclimatization, increased physical activity, and varying degrees of health.

There are three types of altitude sickness:

  1. Acute Mountain Sickness.
  2. Sub-acute mountain.
  3. Chronic disease of the mountains (Monge’s disease)

Acute Mountain Sickness

Physiological basis of production:

When the pressure decreases to ascend atmospheric oxygen that produces a response of the organism to compensate for this decrease in oxygen in the following manner:

  1. Increased heart rate
  2. Increased respiratory rate
  3. Redistribution preferential circulation to the brain, heart, and kidneys

Despite these mechanisms, sometimes the symptoms are present:

Symptoms

The most common are:

  1. Tachycardia
  2. Tachypnea
  3. A headache
  4. Asthenia
  5. Anorexia
  6. Bloating
  7. Vertigo
  8. Nausea and vomiting
  9. Insomnia
  10. Oliguria
  11. Dyspepsia

There are warning signs that indicate worsening of the table:

  1. Resting heart rate greater than 110/min
  2. The respiratory rate at rest than 24/min
  3. Lower Oliguria 700 cc in 24 hours.
  4. There are three degrees of altitude sickness:
  5. Mild: Where are mainly headache, nausea and vomiting not very intense, and tachycardia and tachypnea?
  6. That is, the intensification of symptoms reported and the appearance of others.
  7. Grave: In presenting with severe pulmonary edema, cardiorespiratory severe cerebral edema may even produce a vital point.

Prophylaxis (prevention):

The following averages may prevent its onset:

  • Climate (ascent 2000 m / day
  • Use of acetazolamide 250 mg every 12 hours from the day before the climb.

Treatment:

  1. Adequate hydration 1000 ml required per 1000 meters of climbing
  2. Rest
  3. Oxygen therapy should initially be instituted 4-6 liters/min oxygen for 15-30 min, continuing to 2-4 liters/min if it still does not yield the acute symptoms.
  4. Acetazolamide 250 g every 8 hours for 3-4 days.
Simethicone for meteorism.

If the disease gets worse quickly, lowering the patient indication is two lower levels.

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