B4-037 Pulmonary Function Tests Flashcards
measures how fast and how much you can breathe out
spirometry
flow volume loop: below x axis is
inspiratory effort
flow volume loop: above x axis is
expiratory effort
- 3 acceptable manuevers
- 2 largest FEV1 within 150 ml of each other
session complete
if not met, continue testing
provides a measurement of FRC
plethysmography
normal FEV1/FVC
.7-.8
FEV1/VC is increased
restriction
FEV1/VC <70%
obstructive
common causes of obstructive pulmonary defect
2
- asthma
- COPD
reduction in TLC below 5th percentile
restrictive
TLC < 80%
restriction
both FEV1/FVC
and TLC are decreased
mixed pulmonary defect
excellent effort
hesitating start
submaximal effort
early termination
coughing
subject briefly stopped exhaling
obstructive pulmonary defect
FEV1/VC <70%
obstruction
2 main causes of obstructive defect
asthma
COPD
TLC below 5th percentile
restrictive
FVC reduced
FEV1/FVC normal
can infer restrictive, but only 58% of patient will be restricted
restrictive
TLC <80%
restriction
TLC > 120%
hyperinflation
is bronchodilator response capable of separating asthma and COPD?
no
variable extrathoracic
variable intrathoracic
fixed
what pulmonary function test can differentiate between asthma and empysema?
DLCO
normal/elevated DLCO
asthma
reduced DLCO
emphysema
normal FEV1/FVC ratio
restrictive
decreased FEV1/FVC
obstructive
proportional reduction in both FEV1 and FVC
restrictive
reduced FEV1/FVC
increased DLCO
asthma
obstructive disease
atopic asthma is a
type 1 hypersensitivity reaction
PFT is complete when
afther 3 attempts, the two largest FVC and two largest FEV1 are within
150 ml of each other
PFT is complete when
[…] sessions have been completed
8
PFT is complete when
patient […] more sessions
cannot complete
can PFT give a specific diagnosis?
no
plethysmography is used to calculate
FRC