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Pulmonary Function Testing (PFT)• Pulmonary Function Testing (PFT’s) are a noninvasive
diagnostic tests that provide measurable feedback about the function of the lungs
• By assessing lung volumes, capacities, rates of flow and gas exchange, PFT’s can provide information that can help diagnose certain lung disorders.
• A normally-functioning pulmonary system operates on many different levels to ensure adequate balance
• One of the primary functions of the pulmonary system is ventilation, the movement of air into and out of the lungs
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Pulmonary Function Terms• Tidal volume (VT). This is the amount of air inhaled or exhaled during normal
breathing
• Minute Volume (MV). This is the total amount of air exhaled per minute.
• Vital capacity (VC). This is the total volume of air that can be exhaled after maximum inspiration
• Functional residual capacity (FRC). This is the amount of air remaining in lungs after normal expiration
• Total lung capacity. This is the total volume of lungs when maximally inflated
• Forced vital capacity (FVC). This is the amount of air exhaled forcefully and quickly after maximum inspiration
• Forced expiratory volume (FEV). This is the volume of air expired during the first, second, and third seconds of the FVC test. FEV1 is obtained from this measurement
• Forced expiratory flow (FEF 25-75%). This is the average rate of flow during the middle half of the FVC test
• Peak expiratory flow rate (PEFR). This is the maximum volume during forced expiration.
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Pulmonary Function Test (PFT’s)
Spirometry
• Some PFT’s involve the use of a spirometer
• The Spirometer is an instrument that measures the amount of air breathed in and out and how quickly the air is inhaled and expelled from the lungs while breathing through a mouthpiece
• The measurements are recorded on a device called a spirograph
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Reasons for the PFT Procedure
• Allergies
• Chronic lung infections
• Asbestosis
• Chest Trauma
• Restrictive airway conditions
• Respiratory infections
• Sarcoidosis
• Scleroderma
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Most common parameters measured in spirometry
• Vital capacity (VC). This is the total volume of air that can be exhaled after maximum inspiration
• Forced Vital Capacity (FVC). This is the amount of air exhaled forcefully and quickly after maximum inspiration
• Forced Expiratory Volume (FEV 1). This is the volume of air expired during the first second of the FVC test
• Forced Expiratory Flow (FEF 25-75%). This is the average rate of flow during the middle half of the FVC test
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Pulmonary Function Testing (PFT’s)
• Results are usually given in both raw data and percent predicted
• The test results as a percent of the “predicted values” for the patients of similar characteristics (Height, age sex and sometimes race and weight)
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Pulmonary Function Test (PFT’s)