Manual of Pulmonary Function Testing

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  • Edition: 9th
  • Format: Paperback
  • Copyright: 2008-03-27
  • Publisher: Elsevier Science Health Science div
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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 Testingp. 1
Pulmonary Function Testsp. 2
Indications for Pulmonary Function Testingp. 7
Patterns of Impaired Pulmonary Functionp. 11
Preliminaries to Patient Testingp. 25
Test Performance and Sequencep. 29
Spirometry and Related Testsp. 36
Vital Capacityp. 37
Forced Vital Capacity, Forced Expiratory Volume, and Forced Expiratory Flowp. 40
Flow-Volume Curvep. 53
Peak Expiratory Flowp. 61
Maximum Voluntary Ventilationp. 63
Before- and After-Bronchodilator Studiesp. 65
Maximal Inspiratory Pressure and Maximal Expiratory Pressurep. 68
Airway Resistance and Conductancep. 70
Pulmonary Compliancep. 75
Lung Volumes and Gas Distribution Testsp. 90
Lung Volumes: Functional Residual Capacity, Residual Volume, Total Lung Capacity, and Residual Volume/Total Lung Capacity Ratiop. 91
Gas Distribution Tests: Single-Breath Nitrogen Washout, Closing Volume, and Closing Capacityp. 105
Ventilation and Ventilatory Control Testsp. 117
Tidal Volume, Rate, and Minute Ventilationp. 118
Respiratory Dead Space and Alveolar Ventilationp. 120
Ventilatory Response Tests for Carbon Dioxide and Oxygenp. 123
Diffusing Capacity Testsp. 133
Carbon Monoxide Diffusing Capacityp. 134
Significance and Pathophysiologyp. 144
Blood Gases and Related Testsp. 157
pHp. 158
Carbon Dioxide Tensionp. 158
Oxygen Tensionp. 158
Hemoximetryp. 168
Pulse Oximetryp. 170
Capnographyp. 172
Shunt Calculationp. 175
Cardiopulmonary Exercise Testingp. 185
Exercise Protocolsp. 187
Exercise Workloadp. 189
Cardiovascular Monitors During Exercisep. 192
Ventilation During Exercisep. 200
Oxygen Consumption, Carbon Dioxide Production, and Respiratory Exchange Ratio During Exercisep. 208
Exercise Blood Gasesp. 214
Cardiac Output During Exercisep. 219
Pediatric Pulmonary Function Testsp. 238
Spirometryp. 239
Lung Volumesp. 254
Diffusion Capacityp. 258
Infant, Toddler, and Preschool Pulmonary Function Testingp. 260
Standards for Testingp. 275
Future for Pediatric Pulmonary Function Laboratoriesp. 277
Specialized Test Regimensp. 284
Bronchial Challenge Testingp. 285
Exhaled Nitric Oxidep. 298
Forced Oscillation Techniquep. 302
Preoperative Pulmonary Function Testingp. 304
Pulmonary Function Testing for Disabilityp. 307
Metabolic Measurements: Indirect Calorimetryp. 309
Pulmonary Function Testing Equipmentp. 327
Volume Displacement Spirometersp. 328
Flow-Sensing Spirometersp. 335
Peak Flow Metersp. 346
Body Plethysmographsp. 347
Breathing Valvesp. 351
Pulmonary Gas Analyzersp. 354
Blood Gas Analyzers, Oximeters, and Related Devicesp. 362
Computers for Pulmonary Function Testingp. 375
Quality Assurance in the Pulmonary Function Laboratoryp. 384
Elements of Laboratory Quality Controlp. 385
Calibration and Quality Control of Pulmonary Function Equipmentp. 387
Calibration and Quality Control of Blood Gas Analyzersp. 402
Criteria for Acceptability and Repeatability of Pulmonary Function Studiesp. 408
Infection Control and Safetyp. 411
Answers to Self-Assessment Questionsp. 421
Reference Valuesp. 423
Conversion and Correction Factorsp. 435
Regulations and Regulatory Agenciesp. 437
Some Useful Equationsp. 441
Sample Calculationsp. 445
The Mean and the Standard Deviationp. 449
Glossaryp. 451
Indexp. 465
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