Pulmonary Function Testing Flashcards

1
Q

What is the most accurate way to test measurements of the lungs (FRC, RV, TLC)?

A

Plethysmograph

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2
Q

What is spirometry testing?

A

Device that measures the volume of air a subject exhales and the rate they exhale

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3
Q

How is spirometry testing done?

A

Exhaling as forcefully as possible after taking a full inspiration (should be performed in standing)

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4
Q

Total lung capacity (TLC)

A

Maximal volume air contained in lung at end of max inspiration (5-7L)

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5
Q

Vital capacity/forced vital capacity

A

Maximal volume of gas that can be expired in a single breath after max inspiration (men=5L, women=3.8L)

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6
Q

Tidal volume (TV)

A

Volume of gas expired during normal breathing (.4-.7L)

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7
Q

Minute ventilation (VE)

A

Amount of air expired per minute (TV x RR, 4L per min)

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8
Q

Residual volume (RV)

A

Amount of air remaining in lungs after max expiration (1L)

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9
Q

Inspiratory reserve volume (IRV)

A

Volume of additional air that can be inhaled after normal breath in

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10
Q

Expiratory reserve volume (ERV)

A

Volume of additional air that can be exhaled out after normal breath out

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11
Q

Functional residual capacity (FRC)

A

Volume of gas that remains in lungs at end of normal breath out (ERV+RV)

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12
Q

What is the importance of functional residual capacity(FRC)?

A

Equilibrium point between recoil of lung and chest and the end of normal expiration

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13
Q

Maximum voluntary ventilation (MVV)

A

Volume of gas that can be breathed in 12 seconds when a person breaths as deeply and quickly as possible

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14
Q

What is the acceptable normal value for MVV?

A

Greater than FEV1 x 40

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15
Q

Diffusion capacity (DLCO)

A

Normal is >80%

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16
Q

What is vital capacity made up of?

A

IRV, TV, and ERV

17
Q

What is total lung capacity made up of?

A

IRV, TV, ERV, and RV

18
Q

What is diffusion capacity (DLCO) dependent on?

A

Volume inspired

Pulmonary blood flow

AC surface area

Hemoglobin

Thickness of AC membrane

19
Q

Peak expiratory flow

A

Highest instantaneous airflow rate measuring during the FVC maneuver

20
Q

Forced expiratory flow

A

Average flow from the point at which 25% of the FVC has been exhaled to the point when 75% of FVC has been exhaled