volume flow loop Flashcards
flow volume loop
flow volume loop consist of forced expiatory maneuver followed expiratory maneuver followed by forced inspiratory maneuver
volume is on x-axis
flow is on y-axis
volume calibration
one cm equal 1 liter
one volt equals 1 liter
flow calibration
two cm equals 2 l/sec
one volt equals 2 l/sec
FEF max
peak of expiratory curve
FIF max
peak of inspiratory curve
FEF and FIF fir 25, 50, 75%
at the flow rate measured at 25,50,75 points on expiatory and inspiratory curve
FVC
the volume measure from the beginning to end of the expiatory curve
Tidal volume
the volume measured from the repeated tracing at one end of FVC curve
restrictive changee
the volumes are decreased which result a skinny loop
obstructive changes
peak flow maybe decreased or same
the expiratory portion of the curve flattens toward the volume axis this is called scooped appearance
fixed large airway obstruction
flow is limited during both expiration and inspiration
this causes the flow volume curve to flatten both the exp. and insp. portion of flow loop
causes: tracheal stenosis
Goiters
Variable intrathoracic obstruction
dynamic compression of the airway during expiration and dilation of the airway
the increase intrathoracic pressure during expiration causes airway to collapse and during inspiration the negative intrapleural pressure cause airway to expand
and flow volume curve is flat during expr. and normal during inspr.
causes: tracheomalacia
tumors in the lower trachea
variable extrathoracic obstruction
dynamic compr. of the airway during inspr.
neg. intrapleural pressure tend to collapse the airway during insp.
the positive intrapleural press. during force exhalation dilate the airway
the flow volume curve is normal in expiration phase and flattened in inspiratory
causes: croup
vocal cord paralysis
acute epiglottis
adenotonsillar hypertrophy
post-bronchodialator change
air flow limitation diminishes and improving the scooped appearance of an obstructive tracing
PEF increase
poor effort identification
poor reproducibility
flow rates are lower at high lung volumes
flat expiratory portion of the curve