measuring lung volumes Flashcards

1
Q

what is breathing rate

A

the number of breaths per minute

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2
Q

what is oxygen uptake

A

the volume of oxygen absorbed by the lungs in one minute

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3
Q

what is tidal volume

A

the volume of air inhaled or exhaled in one breath, usually measured at rest

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4
Q

what is a spirometer

A

a device that can measure the movement of air into and out of the lungs

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5
Q

what is vital capacity

A

the greatest volume of air that can be expelled from the lungs after taking the deepest possible breath

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6
Q

what are the three ways to measure the capacity of the lungs

A
  • peak flow meters
  • vitalographs
  • spirometer
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7
Q

what is a peak flow meter

A

measures the rate at which air can be expelled from the lungs. people with asthma often use these to monitor how well their lungs are working

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8
Q

what is a vitalograph

A

the patient breathes out as quickly as possible through a mouthpiece. the instrument produces a graph of the amount of air they breathe out and how quickly its breathed back in

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9
Q

how do we use a spirometer

A

a float chamber spirometer consists of a chamber of air or medical grade oxygen floating on a tank of water. during inspiration, air is drawn from the chamber so the lid moves down. during expiration, the air returns to the chamber raising the lid

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10
Q

how is the movement of air recorded

A

on a datalogger

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11
Q

what happens to the carbon dioxide rich air that is exhaled

A

it is passed through a chamber of soda lime which absorbs the carbon dioxide

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12
Q

what does the soda lime allow to be measured

A

oxygen consumption

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13
Q

what can many spirometers not measure

A

the rate of oxygen consumption

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14
Q

what are the precautions that must be taken when using a spirometer

A
  • the subject should be healthy and in particular free from asthma
  • the soda lime should be fresh and functioning
  • there should be no air leaks in the apparatus as this would give invalid or inaccurate results
  • the mouthpiece should be sterilised
  • the water chamber must not be overfilled (or water will enter the air tubes)
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15
Q

what is tidal volume

A

the volume of air inhaled or exhaled during relaxed breathing

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16
Q

when is tidal volume usually measured

A

at rest

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17
Q

what is tidal volume sufficient for

A

supplying all the oxygen in the body at rest

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18
Q

what is the tidal volume in an average adult

A

0.5dm3 or 500cm3

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19
Q

what is tidal volume 15% of

A

vital capacity

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20
Q

what is inspiratory capacity

A

maximum possible volume inhaled after a relaxed exhalation

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21
Q

what is expiratory capacity

A

maximum possible volume exhaled after a relaxed inhalation

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22
Q

what is inspiratory reserve volume

A

the maximum volume of air you can breathe in, over and above normal inhalation
- the extra air that is breathed in deeply (forcefully) is your IRV

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23
Q

what is the average inspiratory reserve volume in an adult

A

2.4dm3 or 2400cm3

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24
Q

what is expiratory reserve volume

A

maximum volume of air you can force out of your lungs over and above the normal tidal volume of air you breathe out
- when you breathe out deeply (forcefully) the extra air breathed out is the ERV

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25
Q

what is the average expiratory reserve volume for an adult

A

0.3dm3

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26
Q

what is vital capacity

A

maximum volume of air that can be exhaled after a maximal inhalation

27
Q

how is vital capacity measured

A

by taking a deep breath and expiring all the air as possible from the lungs

28
Q

what does vital capacity of a person depend on

A

size of a person (height), age, gender, level of regular exercise

29
Q

what is the average vital capacity of an adult

A

5000cm3 or 5dm3

30
Q

vital capacity =

A

tidal volume + expiratory reserve volume + inspiratory reserve volume

31
Q

what is the total lung capacity

A

the total volume of air the lungs can hold after a maximal inhalation

32
Q

total lung capacity = ..

A

.. = vital capacity + residual volume

33
Q

what is functional residual capacity

A

volume remaining in the lungs after the end of a normal expiration

34
Q

what is residual volume

A

amount of air left in the lungs after a maximal exhalation. its the capacity of the airways and alveoli when deflated

35
Q

why does there need to be some air left in the lungs

A

to prevent the alveoli from collapsing

36
Q

what is the average residual volume

37
Q

what can’t be directly measured

A

residual volume

38
Q

what does breathing do

A

supplies oxygen for respiration and removes carbon dioxide produced in respiration

39
Q

what happens as a person breathes through the spirometer

A

oxygen is absorbed by the blood and replaced by carbon dioxide. this carbon dioxide is absorbed by the soda lime in the spirometer so that the volume of the air in the chamber decreases. this decrease is observed and measured on the spirometer trace

40
Q

how can we work out the oxygen uptake from measuring the decrease in volume

A

if we assume the volume of carbon dioxide released and absorbed by the soda lime is equal to the volume of oxygen absorbed by the blood then measuring the gradient of the decrease in volume enables us to work out the rate of oxygen uptake

41
Q

what happens as the person breathes in

A

the chamber lid falls

42
Q

what happens as the person breathes out

A

the chamber lid rises

43
Q

what happens to the spirometer trace as the person breathes out

44
Q

what happens to the spirometer trace as person breathes in

45
Q

what happens as the demands of the body change

A

the pattern and volume of breathing changes

46
Q

what is the difference between breathing rate and ventilation rate

A

the breathing rate is the number of breaths taken per minute and the ventilation rate is the total volume of air inhaled in one minute

47
Q

how to work out the ventilation rate

A

ventilation rate = tidal volume x breathing rate (per minute)

48
Q

what is the breathing rate at rest

A

usually about 12-14 breaths per minute

49
Q

what happens when the oxygen demands of the body increases

A

the tidal volume of air moved in and out of the lungs with each breath can increase from 15% to as much as 50% of the vital capacity, the breathing rate also increases. in this way, the ventilation rate of the lungs and the oxygen uptake during gaseous exchange can be increased to meet the demands of the tissues

50
Q

how does a spirometer work

A
  • a person breathes in and out of an enclosed air chamber. the air is trapped between the spirometer float and the water.
  • as the person breathes in, the volume of air inside the chamber decreases and float drops down
  • as the person breathes out, the volume of air inside the chamber increases and the float is pushed up
  • the float is attached to a pen which writes on paper attached to a revolving drum
51
Q

what is used to fill the air chamber

A

either atmospheric air or medical grade oxygen

52
Q

what is the function of the counterbalance

A

it reduces the resistance for the subject who is breathing as without it he would have to breathe forcefully

53
Q

why does the apparatus contain water

A

air is trapped between the water and the float

54
Q

what is the purpose of the water

A

provides an airtight seal so that pressure variation does not lead to incorrect readings

55
Q

why does the apparatus have soda lime

A

ensures carbon dioxide is absorbed by the soda lime so the subject is not breathing in more carbon dioixde as this would affect blood pH and denature enxymes. the valves ensure that air passes in a one way direction so that CO2 is removed

56
Q

how is oxygen consumption measured

A

if the chamber of the spirometer is filled with oxygen you can use it to measure how much oxygen you use over a period of time. there must be soda lime in the container.

57
Q

why does the volume of oxyge n in the spirometer get less and less with each breath

A

each time you breathe in, you take oxygen from the chamber and the float drops. when you breathe out, the unused oxygen in your expired air goes back into the air chamber, but the carbon dioxide in your expired air is absorbed by the soda lime. so the total volume of gas going back into the chamber is less than you took from it

58
Q

how do you work out the mean tidal volume

A

measure the tidal volume for each of the breaths using the spirometer trace
add these together
divide by the number of breaths

59
Q

how to calculate the mean breathing rate

A

measure the total time taken on the trace
then count the number of breaths taken in that time
divide the number of breaths by the time in seconds to find the number of breaths per second

60
Q

how to work out ventilation rate

A

breathing rate x mean tidal volume

61
Q

how to work out vital capacity

A

breathing out every bit of air that you can from your lungs and then taking your very largest breath in

62
Q

how to calculate oxygen consumption

A

work out the difference in the volume of air at the start and the end of the session to work out the volume of oxygen the subject used
work out the time taken in seconds
volume of oxygen/time taken then multiply it by 60

63
Q

units for oxygen consumption