Lung Fuction Testing Flashcards

1
Q

Definition of functional residual capacity

FRC

A

Volume of gas remaining in lungs at end of tidal expiration

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2
Q

Definition of forced vital capacity/vital capacity

FVC/ VC

A

Largest volume of gas expelled after full inspiration

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3
Q

Define tidal volume(TV)

A

Volume inhaled and exhaled during one cycle

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4
Q

Define inspiratory reserve volume

IRV

A

Amount of air inspired after tidal inspiration

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5
Q

Define expiratory reserve volume

ERV

A

Amount of air exhaled after tidal expiration

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6
Q

Define residual volume

RV

A

Volume remaining in lungs after maximal expiration

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7
Q

Define forced expiratory volume in one second

FEV 1

A

Volume of gas expelled in first second of forced exhaling

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8
Q

What is FVC/ TLC/ FRC (added)

A

FVC= IRV + TV+ ERV

FRC= ERV +RV

TLC= IRV+ TV+ ERV+ RV

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9
Q

Do you things lung function test’s provides us

A

1) Info about ventilatory function
- How much a moves
- How fast air moves

2) . Info about the gassiest exchange function of lungs
- Diffusion capacity of alveolar capillary

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10
Q

Three equipment types to test lung function

A

Spirometry (lab)
“ (portable)
Plethysmograph

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11
Q

Two ways to know if results are of good quality

A

1) Acceptable effort
- No cough
- No hesitation to start test
- Adequate Exhalation

2) Reproducible?

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12
Q

What is used to measure gaseous exchange

A

Diffusion capacity (DL)

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13
Q

What is diffusion capacity

A
# How old gases move from airway to blood
#Test patients breath in CO
#Difference between how much inhaled versus exhaled measured
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14
Q

What does diffusion capacity give us an idea of

A

How much CO diffused in bloodstream

And how much remains in lungs

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15
Q

Five things that influence diffusion capacity

A

1) Surface area: ⬇️ = ⬇️ DL
2) Volume of blood: ⬇️ = ⬇️ DL

3) Haemoglobin: ⬇️ = ⬇️ o2
Therefor affect on [ ] of gasses

4) Diffusion gradient: [ ] of gas in alveolar and blood affects how much difgion takes place
5) Thickness of the membrane: ⬆️= ⬇️ DL

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16
Q

Advantages of a peak flow meter

A
  • Cheap

* portable

17
Q

What does the peak flow meter measure

A

The amount of air forcible expelled After full inspiration

Recorded as peak expiratory flow rate (PEFR)

18
Q

What does the peak flow meter test in humans

A

***Note: It is effort dependence and therefore does not provide info about the state of small airways

Useful for chronic lung disease= asthma

19
Q

How to tell if it is a obstructive lung disease

A
IRV = ⬇️
FVC= ⬇️/same

ERV= ⬆️
RV=⬆️
TLC=⬆️
FRC= ⬆️

FEV1 % FVC <70%

20
Q

How to tell if it’s restrictive lung disease

A

FEV1 = not as effected

Everything else =⬇️

FEV1 % FVC = 75%