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March 12, 2010  
EDUCATION CENTER: Diagnostics
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  • Pulmonary Function Test


    Overview:
    Pulmonary function tests are a broad range of tests that are usually done in a health care provider's office or a specialized facility. They measure air taken into and exhaled from the lungs.

    Detailed Information:
    In order to accurately measure the ability of the lungs, the patient must not have had any outside stimulation from smoking, heavy eating or asthma drugs, for several hours before the test.

    During the test, a clip is placed on the patient's nose so that none of the exhaled air escapes measurement. Lung function is measured with a spirometer. The spirometer consists of a tube attached to a small machine that measures the force of the exhaled air. The patient is asked to take deep breaths and exhale forcefully into the tube. The test will last for up to 45 minutes, because three or more repititions must be administered to assure the validity of the results.

    The spirometer measures the following:

    • The vital capacity (VC), or the maximum volume of air that can be inhaled or exhaled from the lungs
    • The peak expiratory flow rate (PEFR), or the maximum flow rate generated during forced exhalation
    • The forced expiratory volume (FEV1), or the amount of air expired in one second.
    The information gathered during spirometry is useful in diagnosing certain types of lung disorders, but is most useful when looking for obstructive lung diseases like asthma and chronic obstructive pulmonary disease (COPD).

    Some forms of asthma are induced by specific triggers, such as exercise or exposure to histamines. If that is the case, then the pulmonary function test may have a normal result. A Bronchial provocation test might then be administered to get a more accurate diagnosis.

    Lung volume measurement detects restrictive lung diseases. In these cases, a person cannot inhale a normal volume of air. Restrictive lung diseases may be caused by inflammation or scarring of the lung tissue or by abnormalities of the muscles or skeleton of the chest wall.

    The diffusion capacity gives an estimate of how efficiently the lungs transfer oxygen from the air into the bloodstream.

    Last updated: 03-Jun-04


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