PEFR Flashcards
What is PEFR?
This is the maximum flow rate recorded during a forced expiration.
What do predicted readings depend on?
Age
Sex
Height
Ethnicity
How do you assess PEFR?
PEFR readings less than the patient’s predicted, or usual best demonstrate airflow obstruction in the large airways.
Using PEFR in determining the severity of asthma?
PEFR < 75% best or predicted- moderate asthma attack
PEFR < 50% best or predicted- acute severe asthma attack.
PEFR <33% best or predicted- life-threatening asthma attack.
What does reversibility testing show?
Improvement in PEFR or FEV1 >15% following bronchodilator therapy (e.g. salbutamol) shows reversibility of airflow limitation and can help to distinguish asthma from COPD.