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##  Hyperventilation 

Another physiological phenomenon of interest to aviators is hyperventilation. Its symptoms greatly resemble hypoxia. When various cells in the body use oxygen and food delivered to them by the blood, carbon dioxide is a by-product. Blood carries this carbon dioxide to the lungs where it is exhaled. 

Carbon dioxide functions in the body to regulate the depth and frequency of breathing. A high level of carbon dioxide in the blood triggers rapid, deep breathing to expel it. This also promotes the intake of a greater amount of oxygen for active cells to use. A low carbon dioxide level causes more relaxed breathing resulting in less oxygen intake. Therefore, an oxygen/carbon dioxide balance exists in the blood. 

Occasionally, fear, panic, or pain triggers excessive rapid breathing in a person. With it comes a reduction of carbon dioxide in the blood, even though the body does not need this. The lower carbon dioxide level signals the body that there is enough oxygen available and blood vessels constrict, causing hypoxia-like symptoms because insufficient oxygen is being delivered to the cells. Note that the onset of hypoxia described in the previous section occurs without the rapid breathing that accompanies hyperventilation. Hyperventilation can often be alleviated by having the person calm down and breathe normally, which restores the oxygen/carbon dioxide balance in the bloodstream. 

## Carbon Monoxide Poisoning 

Carbon monoxide is a colorless, odorless gas produced by incomplete combustion of hydrocarbon fuels, such as those used in aviation. The human body does not require this gas to function. Its presence, however, can prevent a sufficient level of oxygen to be maintained in the body, resulting in hypoxia. This is also known as carbon monoxide poisoning. As with all forms of oxygen deprivation, extended exposure to carbon monoxide can result in unconsciousness and even death. 

Hemoglobin is the substance in the blood that attaches to oxygen in the lungs and circulates it to cells in the body for use. Carbon monoxide more readily attaches itself to hemoglobin than oxygen. If carbon monoxide is present in the lungs, hemoglobin attaches to it and not oxygen. This results in cells not receiving the amount of oxygen they need. The insufficient oxygen level results in hypoxia-like symptoms. 

A real danger of carbon monoxide poisoning is that long exposure to slight traces of carbon monoxide can result in oxygen deprivation just as easily as short-term exposure to a concentrated amount. The onset of its effects can be very subtle. 

There are many types of carbon monoxide detectors available to alert aviators of the presence of this gas. Some are made to be permanently installed in the instrument panel, while others are portable. The simplest carbon monoxide detectors are chemical tabs mounted on cardboard that hang on or adhere to something in the cockpit. When carbon monoxide is present, the tab changes color due to a chemical reaction. More sophisticated detectors provide a digital output in parts per million of carbon monoxide present or illuminate a light and/or an audible alarm sounds. [Figure 16-3] If contaminated, a carbon monoxide portable test unit can be returned to service by installing a new indicating element. 

Aircraft that utilize exhaust shroud-type heating systems or combustion heaters are more likely to have carbon monoxide introduced into the cabin from these devices. It is very important to discover the source of carbon monoxide if it is detected. Various leak checks and testing for cracks are performed regularly whenever a combustion source is also the source for cabin heat. 

## Aircraft Oxygen Systems 

The negative effects of reduced atmospheric pressure at flight altitudes, forcing less oxygen into the blood, can be overcome. There are two ways this is commonly done: increase the pressure of the oxygen or increase the quantity of oxygen in the air mixture. 

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