Spirometry and Lung Compliance Flashcards

The objective of this lecture is to understand how spirometry measures basic lung functions and how these lung functions are affected by compliance.

1
Q

IRV

A

Inspiratory Reserve Volume

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2
Q

TV

A

Tidal Volume

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3
Q

ERV

A

Expiratory Reserve Volume

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4
Q

RV

A

Residual Volume

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5
Q

TLC

A

Total Lung Capacity

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6
Q

IC

A

Inspiratory Capacity

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7
Q

FRC

A

Functional Residual Capacity

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8
Q

VC

A

Vital Capacity

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9
Q

FEV1

A

Forced Expiratory Volume in 1 second

Breath in (inspire to IRV) and then Exhale as much as possible!!!

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10
Q

Normal FEV1 level

A

4 L

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11
Q

Normal FVC level

A

5 L

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12
Q

Normal FVC Ratio

A

80%

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13
Q

What are common obstructive disorders?

A
  1. Asthma
  2. Bronchitis
  3. Emphysema
  4. COPD
  5. Cystic Fibrosis
  6. ARDS (surfactant is destroyed by neutrophil aggregation)
  7. Obstructive Atelectasis
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14
Q

What are common Restrictive Diseases?

A
  1. Pulmonary Fibrosis

2. Pulmonary Edema

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15
Q

FEV1 for Obstructive Disease

A

Very Decreased

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16
Q

FVC for Obstructive Disease

A

Normal or Slightly Decreased

17
Q

FEV1/FVC Ratio for Obstructive Disease

A

Decreased

18
Q

FEV1 for Restrictive Disease

A

Decreased

19
Q

FVC for Restrictive Disease

A

Decreased

20
Q

FEV1/FVC Ratio for Restrictive Disease

A

Normal or Increased

21
Q

Obstructive Disease is defined by

A

Expiration being Obstructed

22
Q

Restrictive Disease is defined by

A

Lung Inflation is being Restricted

23
Q

Compliance is defined as

A
  1. Ability to yield and stretch when under a force –“Distendable”
24
Q

Compliance =

A

The Change in Ventilation divided by the Change in Pressure

25
Q

What makes Surfactant in the Alveoli?

A

Type 2 Alveolar Cells

26
Q

Pressures will naturally flow from ______ alveoli into the _____ ones when a pressure gradient exists.

A

Small to Large

27
Q

Surfactant ‘detergent’ permits small alveoli patency and expansion even when connected to large alveoli.

A

KNOW THIS

28
Q

Surfactant modifies surface tension to ________.

A

Prevent collapse of small alveoli when connected to larger alveoli.

29
Q

How does surfactant increase compliance?

A

Decreasing Surface Tension

30
Q

Abnormally high compliance (Lung Volume is high and TPPG is lower)

A

Emphysema

31
Q

Abnormally low compliance (Lung Volume is low and TPPG is higher)

A

Pulmonary Fibrosis