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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.

If a doctor suspects symptoms are caused by such conditions as pulmonary fibrosis, emphysema, chronic bronchitis, COPD, or asthma, a test may be ordered. For those who have been diagnosed with one of these conditions, this test can be used to see how effective medication is working and to make sure symptoms are under control.

Before the test is performed, patients who are on inhalant or other medications should skip using them during testing. Avoid eating a large meal so as to make breathing easier and wear loose clothing so that breathing will be unconstricted.

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 a person will be given inhaled medications after the first test to allow the lungs to open more. At least 15 minutes should pass before administering the second test. The tests will then be compared to see if there is an improvement in airflow. Overall the testing will take less than 15 minutes. The results will include a vital capacity (FVC) test to show the most amount of air that can be exhaled, and a forced expiratory volume (FEV-1) test to show how much air is exhaled in a second.

This test is used to detect respiratory disease in patients who present symptoms of breathlessness, to diagnose and manage asthma, and to distinguish respiratory conditions from those of cardiac disease. It is used to differentiate between obstructive and restrictive lung disease, measure bronchial responsiveness, identify risk of pulmonary barotrauma in scuba divers, and assess impairment from occupational asthma. Risk assessment before anesthesia or cardiothoracic surgery can be measured as well as detection of vocal cord dysfunction and the ongoing treatment of existing lung conditions.

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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