A 65-year-old patient with a history of congestive heart failure (CHF) is being transported by air to a specialized cardiac center. During the ascent, the patient starts experiencing increased dyspnea and a marked decrease in oxygen saturation. Which physiologic factor related to altitude changes is most likely contributing to the patient's symptoms?
During air transport, the decrease in atmospheric pressure at higher altitudes leads to a reduction in the partial pressure of oxygen. This can cause hypoxemia, particularly in patients with underlying respiratory or cardiac conditions like CHF. The body’s ability to uptake oxygen diminishes, exacerbating dyspnea and reducing oxygen saturation.
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BCEN CFRN
General Principles of Flight Transport Nursing Practice
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