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.

For those who are currently taking medication for a lung condition, the spirometer test can show the efficacy of the medications and show if there is improvement. A doctor will order this test if they suspect a patient has such conditions as COPD, chronic bronchitis, emphysema, asthma, or pulmonary fibrosis.

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.

If inhaled medications are administered after the initial test to keep the lungs open, one should wait at least 15 minutes before taking another test. Comparison can then be made between the two tests to see if the medication improved airflow. Each test takes less than 15 minutes to do. The measurements include the largest amount of air that can be exhaled, called forced vital capacity (FVC), and another reading shows how much air can be exhaled in one second, known as forced expiratory volume (FEV-1).

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 be a part of bronchial challenge testing, to check hyper-responsiveness to either inhalation of dry or cold air, during rigorous exercise, or the use of a medication such as a histamine or a methacholine agent. Other lung function testing can include a nitrogen washout or a plethysmography.




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