RS Lec 2 Flashcards
spirometry is…
-a pulmonary function test to determine the amount and the rate of inspired and expired air
tidal volume (TV)
-air in OR out in each cycle
inspiratory reserve volume (IRV)
-max air in after regular inspiration
Expiratory reserve volume (ERV)
-max air in after regular expiration
Residual volume (RV)
- volume of air in lungs after max expiration
- RV=FRC-ERV
Vital capacity (VC)
max air exhaled after max inspiration
- VC= TV+ IRV+ ERV
Functional residual capacity (FRC)
- air in lungs after normal expiration
- FRC= RV + ERV
Inspiratory capacity (IC)
- air that can be forcibly inhaled
- IC= TV+IRV
Total lung capacity (TLC)
- volume of air in lungs after max inspiration
- TLC= FRC + TV + IRV= VC + RV
tidal volume (amount)
-500 ml
Total (minute) ventilation
- total amount of air moved into the respiratory system per minute
- tidal volume x resp. frequency (0.5 L x 15 bpm = 7.5 L/min)
alveolar ventilation
- amount of air moved into the alveoli per minute (alveolar < minute)
- depends on anatomical dead space (150 ml)
- (0.5-0.15) * 15 bpm= 5.25 L/min
anatomical dead space is
- 150 ml
- constant regardless of breath size
increased depth of breathing..
-increased alveolar ventilation
shallow + fast breathing
-likely to faint
FEV1
-forced expiratory volume in 1s`
FVC
-forced vital capacity (max air out after max inspiration)
FEV1/FVC
-proportion of the amount of air that is blown out in 1 sec.
normal FEV1/FVC
-80%
obstructive FEV1/FVC
-FEV1 ↓
-FVC normal/↓
FEV1/FVC < 0.7
obstructive pattern
- shortness of breath due to difficulty in exhaling all the air from lungs
- exhaled air moves more slowly than normal
- high amount of air left in lungs
obstructive pattern illness
-bronchial asthma, chronic obstructive pulmonary disease, cystic fibrosis
restrictive FEV1/FVC
-FEV1 ↓
-FVC ↓
FEV1/FVC (normal)
restrictive pattern
-lungs can’t fully expand, caused by stiffness in lungs, chest wall, weak muscles, damaged nerves
restrictive pattern illness
- lung fibrosis
- neuromuscular diseases (ALS, muscular dystrophy)
- scarring of lung tissue
functional residual capacity (RV+ERV)- helium dilution method
-helium is insoluble in blood, helium in lung equialbarates, C2 is measured at end of expiratory effort (V2= FRC)