Spirometry Flashcards
obstructive lung disease
A group of lung diseases associated with increased resistance to airflow. Examples include chronic obstructive pulmonary disease, bronchial asthma, and bronchiectasis.
restrictive lung disease
A group of lung conditions characterized by an impaired ability of the lungs to expand. Causes include disorders that affect the lung parenchyma (e.g., interstitial lung disease, pneumonia, pulmonary edema), pleura, and pleural cavity, deformities of the thorax, and respiratory muscle weakness.
FEV1
decreased in obstructive lung disease
normal or decreased in restrictive lung disease
FEV1/FVC in obstructive lung disease
decreased
because FEV1 decreases more than FVC decreases
FEV1/FVC in restrictive lung disease
normal or increased
decrease in FEV1 is proportional to decrease in FVC
VC
decreased in both restrictive and obstructive
flow volume loop in obstructive
air trapping: scalloping of the expiratory limb
flow volume loop in restrictive
narrow flow volume loop
RV
volume of air remaining in lungs after maximal exhalation
increased in obstructive lung disease
normal or decrease in restrictive lung disease
FRC
volume of air that remains in the lungs after tidal exhalation
increased in obstructive lung disease
decreased in restrictive lung disease
TLC
normal or increased in obstructive lung disease
decreased in restrictive lung disease
airway resistance in obstructive lung disease
increaased
airway resistance in restrictive lung disease
normal
examples of obstructive lung disease
COPD
bronchial asthma
bronchiectasis
cystic fibrosis
examples of restrictive lung disease
instrinsic causes
- interstitial lung disease
extrinsic causes
- pleural effusion, pleural adhesions, pneumothorax
- deformities of the thorax/mechnical limitation, kyphoscoliosis, obesity
- respiratory muscle weakness, phrenic nerve palsy, myasthenia graves, polio, GBS