Manual of Pulmonary Function Testing

by Ruppel, Gregg L.

• ISBN13: 9780323052122
• ISBN10: 0323052126
• Edition: 9th
• Format: Paperback
• Copyright: 2008-03-27
• Publisher: Elsevier Science Health Science div

Summary

The perfect text, on-the-job reference and certification exam review, MANUAL OF PULMONARY FUNCTION TESTING, 9th Edition includes a wealth of information on pulmonary function tests, techniques, pathophysiology, equipment, computers, and quality assurance to help you get the best results every time. Detailed information on the pulmonary function tests used to determine the presence, extent, and progression of lung disease and abnormality helps you reveal conditions including asthma, chronic bronchitis, emphysema, and cystic fibrosis. This new edition includes even more opportunities to apply your knowledge with additional Case Studies and Self-Assessment Questions. A "how to" approach to testing explains procedures step-by-step and provides a valuable on-the-job reference. UNIQUE! Objectives for both Entry and Advanced Levels following the content guidelines suggested by National Board for Respiratory Care provide a useful study tool for the CPFT and RPFT examinations. UNIQUE! PF Tips boxes highlight content from the text to help you remember essential information. UNIQUE! Clinical Practice Tips provide helpful guidance for applying the concepts and procedures from each chapter. Updated "Case Studies" provide you with the most up-to-date scenarios to help prepare you for clinical situations. Updated "Self-Assessment Questions" for each chapter test your knowledge of the content, and answers in the appendix let you check your answers for accuracy. The latest guidelines from the American Thoracic Society/European Respiratory Society (ATS/ERS) and the American Thoracic Society/American College of Chest Physicians (ATS/ACCP), plus information on new procedures and testing equipment ensure you use the most current practice guidelines. UNIQUE! More real-life cases with actual tracings and authentic patient data enhance your ability to interpret pulmonary function studies. Chapter Outlines, Key Terms, and Key Point Summaries highlight the most important information in every chapter and help you review key information for the CPFT and RPFT examinations.

Author Biography

Gregg L. Ruppel MEd, RRT, RPFT, FAARC Adjunct Professor, Division of Pulmonary, Critical Care, and Sleep Medicine Director, Pulmonary Function Laboratory Saint Louis University Hospital Saint Louis, Missouri

Table of Contents

Indications for Pulmonary Function Testing	p. 1
Pulmonary Function Tests	p. 2
Indications for Pulmonary Function Testing	p. 7
Patterns of Impaired Pulmonary Function	p. 11
Preliminaries to Patient Testing	p. 25
Test Performance and Sequence	p. 29
Spirometry and Related Tests	p. 36
Vital Capacity	p. 37
Forced Vital Capacity, Forced Expiratory Volume, and Forced Expiratory Flow	p. 40
Flow-Volume Curve	p. 53
Peak Expiratory Flow	p. 61
Maximum Voluntary Ventilation	p. 63
Before- and After-Bronchodilator Studies	p. 65
Maximal Inspiratory Pressure and Maximal Expiratory Pressure	p. 68
Airway Resistance and Conductance	p. 70
Pulmonary Compliance	p. 75
Lung Volumes and Gas Distribution Tests	p. 90
Lung Volumes: Functional Residual Capacity, Residual Volume, Total Lung Capacity, and Residual Volume/Total Lung Capacity Ratio	p. 91
Gas Distribution Tests: Single-Breath Nitrogen Washout, Closing Volume, and Closing Capacity	p. 105
Ventilation and Ventilatory Control Tests	p. 117
Tidal Volume, Rate, and Minute Ventilation	p. 118
Respiratory Dead Space and Alveolar Ventilation	p. 120
Ventilatory Response Tests for Carbon Dioxide and Oxygen	p. 123
Diffusing Capacity Tests	p. 133
Carbon Monoxide Diffusing Capacity	p. 134
Significance and Pathophysiology	p. 144
Blood Gases and Related Tests	p. 157
pH	p. 158
Carbon Dioxide Tension	p. 158
Oxygen Tension	p. 158
Hemoximetry	p. 168
Pulse Oximetry	p. 170
Capnography	p. 172
Shunt Calculation	p. 175
Cardiopulmonary Exercise Testing	p. 185
Exercise Protocols	p. 187
Exercise Workload	p. 189
Cardiovascular Monitors During Exercise	p. 192
Ventilation During Exercise	p. 200
Oxygen Consumption, Carbon Dioxide Production, and Respiratory Exchange Ratio During Exercise	p. 208
Exercise Blood Gases	p. 214
Cardiac Output During Exercise	p. 219
Pediatric Pulmonary Function Tests	p. 238
Spirometry	p. 239
Lung Volumes	p. 254
Diffusion Capacity	p. 258
Infant, Toddler, and Preschool Pulmonary Function Testing	p. 260
Standards for Testing	p. 275
Future for Pediatric Pulmonary Function Laboratories	p. 277
Specialized Test Regimens	p. 284
Bronchial Challenge Testing	p. 285
Exhaled Nitric Oxide	p. 298
Forced Oscillation Technique	p. 302
Preoperative Pulmonary Function Testing	p. 304
Pulmonary Function Testing for Disability	p. 307
Metabolic Measurements: Indirect Calorimetry	p. 309
Pulmonary Function Testing Equipment	p. 327
Volume Displacement Spirometers	p. 328
Flow-Sensing Spirometers	p. 335
Peak Flow Meters	p. 346
Body Plethysmographs	p. 347
Breathing Valves	p. 351
Pulmonary Gas Analyzers	p. 354
Blood Gas Analyzers, Oximeters, and Related Devices	p. 362
Computers for Pulmonary Function Testing	p. 375
Quality Assurance in the Pulmonary Function Laboratory	p. 384
Elements of Laboratory Quality Control	p. 385
Calibration and Quality Control of Pulmonary Function Equipment	p. 387
Calibration and Quality Control of Blood Gas Analyzers	p. 402
Criteria for Acceptability and Repeatability of Pulmonary Function Studies	p. 408
Infection Control and Safety	p. 411
Answers to Self-Assessment Questions	p. 421
Reference Values	p. 423
Conversion and Correction Factors	p. 435
Regulations and Regulatory Agencies	p. 437
Some Useful Equations	p. 441
Sample Calculations	p. 445
The Mean and the Standard Deviation	p. 449
Glossary	p. 451
Index	p. 465
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