Spirometry practical Flashcards

1
Q

what is spirometry

A

method of assessing lung function by measuring the specific lung volumes that the patient can expel form the lungs

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2
Q

why perform spirometry

A

measure lung function to help make a definitive diagnosis
confirm presence/absence of airway obstruction
assess severity of airflow obstruction in COPD and asthma
detect airflow obstruction in smokers who may have few or no symptoms
monitor disease progression
assess response to therapy
perform pre-operative assessment

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3
Q

additional uses of spirometry

A

make a diagnosis and assess severity in a range of other respiratory conditions
distinguish between obstruction and restriction as causes of breathlessness
screen workforces in occupational environments
perform pre-employment screening in certain professions

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4
Q

inspiratory reserve volume

A

the amount of air a person can inhale forcefully after normal tidal volume inspiration

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5
Q

vital capacity

A

the total amount of air exhaled after maximal inhalation

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6
Q

inspiratory capacity

A

The maximum volume of air that can be inspired after reaching the end of a normal, quiet expiration

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7
Q

tidal volume

A

the amount of air that moves in or out of the lungs with each respiratory cycle

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8
Q

expiratory reserve volume

A

The extra volume of air that can be expired with maximum effort beyond the level reached at the end of a normal, quiet expiration.

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9
Q

total lung capacity

A

the volume of air in the lungs upon the maximum effort of inspiration

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10
Q

residual volume

A

the amount of air that remains in a person’s lungs after fully exhalin

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11
Q

functional residual capacity

A

the volume remaining in the lungs after a normal, passive exhalation

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12
Q

diseases associated with airflow obstruction

A

COPD such as chronic bronchitis and/or emphysema
asthma
cystic fibrosis
post-tuberculosis
lung cancer

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13
Q

FEV1

A

4L

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14
Q

FVC

A

5L

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15
Q

FEV1/FVC

A

0.8

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16
Q

obstructive FEV1,FVC and FEV1/FVC

A

1.8L
3.2L
0.56

17
Q

pulmonary diseases associated with a restrictive defect

A

fibrotic lung diseases
pneumoconiosis
pulmonary oedema
parenchymal lung tumours

18
Q

extra pulmonary diseases associated with a restrictive defect

A

thoracic cage deformity
obesity
pregnancy
neuromuscular disorders

19
Q

restrictive diseases lung volumes

A

all lung volumes reduced
reduced FVC and FEV1
FVC reduced more than FEV1
so ratio is normal to high, >0.8

20
Q

spirometry restrictive disease

A

FEV1= 1.9L
FVC= 2L
FEV1/FVC= 0.95

21
Q

withholding medications before performing spirometry

A

short acting B2 agonists for 6 hours
long acting B2 agonists for 12 hours

22
Q

what else should be withheld before spirometry

A

caffeine and cigarette smoking for 30 minutes