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PFT Review

AB
Total Lung Capacityamount of air contained in the lungs at the end of a maximal expiration
FEF25-75%describes the amount of air expelled from the lungs during the middle half of the FVC test
Post bronchodilator testingperformed to test for reactive airway disease after an abnormal PFT
Reduced flow through airwaysinflammation, swelling, compression and narrowing
RV/TLC ratiothe percentage of TLC occupied by the RV
Vital Capacitycombination of the inspiratory capacity and the expiratory capacity
spirometermeasure changes in volume, flow and electronic signal outputs from a pneumotach
Wright's Respirometerworks by rotation of a thin vane with one-directional gas flow
Haloscale Respirometeroperates between 3 and 300 liters/min and is not recommended for FVCs
Extrinsic Restrictive lung disordersscoliosis, kyphosis, obesity and pain
Inspiratory Capacitynormally 75% of VC
Slow Vital Capacityeliminates the strong bronchoconstriction that can happen with an FVC
SVCmay demonstrate a much larger VC than FVC
Inhaled short acting bronchodilatorsshould be held for 4-6 hrs prior to obtaining a baseline PFT
FVC and FEV1largest values should be reported even if not from the same curve
PEFRPeak expiratory flow rate
Reproducibilitytwo largest FEV1 and FVCs from acceptability maneuvers do not vary more than 0.200L
pulmonary function testingassesses flow, volume and compliance
FEV1volume forcibly exhaled in first second of FVC
FEFrepresents how much air can be expired from the lungs
Predicted values variablesgender, race, age, body height and size
Routine Spirometrymeasures air flow and volume
Neuromuscular restrictive lung disordersparalysis of the diaphragm, muscular dystrophy, myasthenia gravis, ALS
FVCamount of air maximally and forcibly expelled from lungs after max inhalation
Body plethysmographymeasures gas volume indirectly, most accurate for measuring RV, and monitors pressure and volume changes
volume verificationuses a calibration syringe
NIFoperates by transmittal of pressure to a sealed diaphragm and pivot assembly
MVVis a reflection of muscle strength, a/w resistance and compliance
disposable circuitryminimizes nosocomial infections


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