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Spirometers And What They Are Used For

By Marissa Velazquez


Spirometers are used in doctor's offices to test lung capacity and to diagnose such issues as chronic obstructive pulmonary disease (COPD), asthma, and other breathing conditions. They are also used as a diagnostic tool for those who are being treated for lung conditions. The air that in inhaled and exhaled is measured on how fast it moves through the lungs.

When used on patients who currently have a lung condition, it can show the efficacy of medication that was prescribed and to monitor symptoms. Conditions such as asthma, COPD, pulmonary fibrosis, chronic bronchitis, or emphysema can be diagnosed with this test.

Prior to taking the test one will need to avoid using inhaled or other medications. Loose clothing should be worn that will not constrict the ability to take a deep breath and one should avoid eating a large meal before testing so that breathing will be easier.

A soft nose clip is worn to prevent air from escaping the nostrils and a filter will be placed over the mouthpiece of the instrument for sanitation purposes. The patient will be asked to take a deep breath and then exhale as hard as possible for a few seconds into the mouthpiece of the spirometer. This can cause shortness of breath or dizziness that will pass in a few moments. The test will be repeated a couple of times and the readings will be compared to make sure they are accurate and consistent.

Sometimes inhaled medications will be used after the first test to open the lungs, a 15 minute break is advised before administering the next test. The tests can then be compared to see if the administered medication has improved the flow of air through the lungs. The tests typically take less than 15 minutes in total to administer. Measurements of the most amount of airflow exhaled, called forced vital capacity (FVC), as well as how much air is exhaled in a second, referred to as forced expiratory volume (FEV-1), are recorded.

A spirometer test is used to diagnose and provide asthma management, detect respiratory disease for those who show symptoms of breathlessness, and to distinguish between respiratory conditions and cardiac disease. It can measure bronchial responsiveness or differentiate between an obstructive and a restrictive lung disease. It is used to assess the impairment from occupational asthma or identify risk from pulmonary barotrauma while scuba diving. It is also used for risk assessment before the administration of anesthesia or prior to cardiothoracic surgery. This test can measure the treatment of conditions that it detects and diagnose the dysfunction of vocal cords.

In order to get accurate results from this test the patient needs to fully cooperate with the instructions given. Children aged 6 years and over can take the test as long as they can follow the instructions. It will not work for those who are unconscious, are unable to understand the instructions, are heavily sedated, or have limited respiratory function.

Spirometers can check for the effects of medication usage such as histamine or a methacholine agents, check the hyper-responsiveness to either inhalation of dry or cold air, or provide bronchial challenge testing. Some other lung tests that can be performed are a plethysmography or nitrogen washout.




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