Exam 2: Pulmonary Function Test Flashcards
What do pulmonary function tests (PFTs) measure?
How well the lungs work
What are some common respiratory symptoms that may indicate the need for a PFT?
- Dyspnea
- Cough
- Cyanosis
- Wheezing
What is the purpose of conducting pulmonary function tests?
- Look for evidence of respiratory disease
- Assess for progression of lung disease
- Monitor treatment efficacy
- Evaluate patients pre-operatively
- Monitor for toxic side effects of drugs
What does ERV stand for in pulmonary function tests?
Expiratory reserve volume
What is the definition of Total Lung Capacity (TLC)?
The volume in the lungs at maximal inflation, the sum of VC and RV
What does VC stand for in the context of lung volumes?
Vital capacity
What is the formula for Inspiratory Capacity (IC)?
The sum of IRV and TV
What is Forced Vital Capacity (FVC)?
The determination of vital capacity from a maximally forced expiratory effort
What is the significance of the FEV1/FVC ratio?
It indicates lung disease; normal is about 80%
What FEV1/FVC ratio suggests obstructive lung disease?
FEV1/FVC < 80%
What pattern is indicated by decreased FEV1, normal or decreased FVC, and decreased FEV1/FVC?
Obstructive Pattern
What condition is suggested by an increase in FEV1 by 12% after bronchodilator use?
Asthma
What characterizes a restrictive pattern in PFTs?
- Decreased TLC
- Decreased FEV1
- Decreased FVC
- Normal FEV1/FVC
- Low DLCO
What does DLCO measure?
Diffusion capacity for carbon monoxide
What is the normal range for FEV1/FVC ratio?
About 80%
What does an FEV1 of 80-100% predicted indicate?
Mild obstruction (Stage 1)
What does an FEV1 of <30% predicted indicate?
Very severe obstruction (Stage 4)
What TLC percentage indicates restrictive disease according to ATS criteria?
TLC < 80%
What TLC percentage range indicates mild restrictive disease?
70-80% predicted
What TLC percentage indicates moderate restrictive disease?
60-70% predicted
What TLC percentage indicates severe restrictive disease?
<50% predicted
What does TLC >120% indicate?
Hyperinflation