A Visitor’s Guide to Altitude Adjustment

By Eleanor Rindal RN & Dawn Marino RN

Our beautiful White Mountains are 6 -7 thousand feet above sea level. This makes a BIG difference to your body. The air actually is rare (less oxygen per cubic foot of air), so your heart and lungs work harder to get and circulate the oxygen necessary for life. Your heart rate and breathing rate become faster, and there is an increased blood flow to your brain. You may notice some shortness of breath, tiredness with activity, slight swelling in your fingers, and mild dizziness. These feelings should get better as your body makes more red blood cells to carry oxygen over the first week or two you are here. That’s good, but the extra cells thicken the blood slightly, which can be a problem for smokers and other people at risk for heart attack or stroke. Some of the medical conditions that may be aggravated by altitude include:

  • Hypertension

  • Arteriosclerosis

  • Congestive heart failure

  • Chronic lung disease

  • Pulmonary hypertension

  • Disorders of pregnancy and childbirth

And don’t forget the altitude also makes you more likely to become sunburned and dehydrated!

DO’S

  • Wear a hat and sunscreen

  • Give yourself time to adjust (10 to 14 days) before doing heavy activity

  • Drink plenty of water, juice, or nonalcoholic, decaffeinated beverages (8-10 glasses daily)

  • Take frequent rest breaks

  • Reduce smoking (if your are interested in quitting, call Dawn Marino RN at 537-6336)

  • Reduce alcohol and caffeine intake (in excess, these can cause dehydration)

  • If you have high blood pressure, have it checked every 3-4 days for the first two weeks

  • If you have an illness and plan to be here for more than 1 month, establish yourself with a local physician

DON’TS

  • Be so active in the first 2 weeks that your heart rate or breathing rate get very high

  • Ignore your body when you feel tired (take frequent rest breaks)

  • Overdo alcohol, smoking, or caffeine

  • Forget to take your regular medications as prescribed

  • Underestimate the power of the sun to scorch you

WHEN TO SEEK MEDICAL ATTENTION
See a doctor or go the hospital if you have:

  • Severe dizziness or if you pass out

  • Mental confusion

  • Shortness of breath or difficulty, especially if it doesn’t go away when you rest

  • Chest pain

  • Severe headache that doesn’t go away with over-the-counter medicines

  • Persistent or severe high blood pressure

  • Persistent nausea and vomiting

  • Significant swelling in the feet or ankles

  • Any condition that you feel needs medical care

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