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To interpret the significance of peak expiratory flow measurements, a comparison is made to reference (normal, predicted) values based on measurements taken from the general population. Various reference values have been published in the literature and vary by population, ethnic group, age, sex, height and weight of the patient.
The spirometry test is performed using a device called a spirometer, [2] which comes in several different varieties. Most spirometers display the following graphs, called spirograms: a volume-time curve, showing volume (litres) along the Y-axis and time (seconds) along the X-axis
Pulmonary function testing (PFT) is a complete evaluation of the respiratory system including patient history, physical examinations, and tests of pulmonary function. The primary purpose of pulmonary function testing is to identify the severity of pulmonary impairment. [1]
Output of a spirometer. Vital capacity (VC) is the maximum amount of air a person can expel from the lungs after a maximum inhalation.It is equal to the sum of inspiratory reserve volume, tidal volume, and expiratory reserve volume.
Bear in mind, however, that this number does not apply to children, and that it can differ depending on the patient's native result; small patient's with pulmonary fibrosis, restrictive lung disease etc. will have a measurably lower FEV1 than healthy average-sized adults. This can give a false positive result of the test.
A spirometer is the main piece of equipment used for basic Pulmonary Function Tests (PFTs). Lung diseases such as asthma, bronchitis, and emphysema may be ruled out from the tests.
Traditional incentive spirometers can be more challenging for children due to compliance and submaximal effort. [9] Age-appropriate devices including whistles, pinwheels, and bubble wands should be considered. [10] These toys and activities reinforce proper breathing mechanics by stimulating deep inhalation and prolonged exhalation. [citation ...
Diffusing capacity of the lung (D L) (also known as transfer factor) measures the transfer of gas from air in the lung, to the red blood cells in lung blood vessels. It is part of a comprehensive series of pulmonary function tests to determine the overall ability of the lung to transport gas into and out of the blood.
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