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    Teste Spirometrice: Importanta Practica

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    Nicoleta Raluca Nita
    The document discusses the importance of spirometry tests in practice for several reasons: 1) the increased prevalence of lung diseases, 2) the correlation between lung dysfunction and life expectancy, and 3) the need to objectively evaluate patients for new bronchodilator classes of drugs and expanded lung surgery. Spirometry tests aim to detect subclinical lung diseases and respiratory insufficiency, characterize respiratory impairment, stage respiratory impairment, evaluate therapeutic response, assess evolution, and determine prognosis.

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    Teste Spirometrice: Importanta Practica

    Uploaded by

    Nicoleta Raluca Nita
    487 views19 pages
    The document discusses the importance of spirometry tests in practice for several reasons: 1) the increased prevalence of lung diseases, 2) the correlation between lung dysfunction and life expectancy, and 3) the need to objectively evaluate patients for new bronchodilator classes of drugs and expanded lung surgery. Spirometry tests aim to detect subclinical lung diseases and respiratory insufficiency, characterize respiratory impairment, stage respiratory impairment, evaluate therapeutic response, assess evolution, and determine prognosis.

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    The document discusses the importance of spirometry tests in practice for several reasons: 1) the increased prevalence of lung diseases, 2) the correlation between lung dysfunction and life expectancy, and 3) the need to objectively evaluate patients for new bronchodilator classes of drugs and expanded lung surgery. Spirometry tests aim to detect subclinical lung diseases and respiratory insufficiency, characterize respiratory impairment, stage respiratory impairment, evaluate therapeutic response, assess evolution, and determine prognosis.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    487 views19 pages

    Teste Spirometrice: Importanta Practica

    Uploaded by

    Nicoleta Raluca Nita
    The document discusses the importance of spirometry tests in practice for several reasons: 1) the increased prevalence of lung diseases, 2) the correlation between lung dysfunction and life expectancy, and 3) the need to objectively evaluate patients for new bronchodilator classes of drugs and expanded lung surgery. Spirometry tests aim to detect subclinical lung diseases and respiratory insufficiency, characterize respiratory impairment, stage respiratory impairment, evaluate therapeutic response, assess evolution, and determine prognosis.

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    TESTE SPIROMETRICE

    IMPORTANTA PRACTICA (1)

    • a crescut frecventa bolilor pulmonare


    - bronsita cronica
    - astmul bronsic
    - fibrozele pulmonare

    • Gradul disfunctiei pulmonare coreleaza cu


    perspectiva de viata
    TESTE SPIROMETRICE

    IMPORTANTA PRACTICA (2)

    •Noile clase de substante bronhodilatatoare


    necesita evaluari obiective

    • Extinderea chirurgiei toracice creste nevoia de


    expertizare a bolnavilor pulmonari
    TESTE SPIROMETRICE

    OBIECTIVE(1)

    1. Depisteaza in stadiul subclinic :


    - bolile pulmonare
    - insuficienta respiratorie

    2. Caracterizeza IR

    3. Stadializeaza IR
    TESTE SPIROMETRICE

    OBIECTIVE (2)

    4. Evalueaza raspunsul terapeutic

    5. Apreciaza evolutia

    6. Determina prognosticul

    7. Stabileste riscul operatori


    TESTE SPIROMETRICE

    1. Volume

    2. Debite

    3. Distributie

    4. Elasticitate

    5. Difuziune
    TESTE SPIROMETRICE

    6.Circulatie

    7.Raport V / P

    8.Gaze Sangvine

    9.Teste Provocare Bronsica


    EXPLORARI MINIMALE
    • Volume

    • Debite

    • Difuziune alveolo-capilara

    • Teste de provocare bronsica


    PARAMETRII SPIROMETRICI

    FEV1 = Forced Expiratory Volume In 1sec


    = VEMS

    PEF = Peak Expiratory Flow


    = Flux Expirator de Varf

    VC = Vital Capacity
    = Capacitate Vitala
    PARAMETRII SPIROMETRICI

    FVC = Forced Vital Capacity


    = Capacitate Vitala Fortata

    FER = Forced Expiratory Rate


    = FEV1 / VC = Ind. TIFNEAU

    F50 = Forced Expiratory Rate at 50%

    F25 = Forced Expiratory Rate at 25%

    MEF = Mid Expiratory Flow


    VOLUM
    INSPIRATOR CAPACITATE
    REZERVA INSPIRATORIE
    CAPACIT.
    CAPACITATE VITALA
    VITALA CAPACIT.
    PULMON
    VOLUM TOTALA
    EXPIRATOR CAPACITATE
    REZERVA REZIDUALA
    FUNCTIONALA
    VOLUM
    REZIDUAL
    VIR
    CI
    CV
    VC
    VIR CPT VER
    CI
    CV
    VC CRF VIR
    CPT CI
    VER VR CV VC
    CRF CPT
    VER
    VR CRF
    VR

    NORMAL OBSTRUCTIV RESTRICTIV


    V ml
    VEMS (FEV)

    25%

    VEMS
    FLUX 25-75%
    VC CV

    75%

    1 2 3 4 sec

    NORMAL
    VEMS1/CV>70%
    VEMS3>95%
    FEF 25-75%: variabil
    V ml

    VEMS(FEV)

    25%VEMS

    CV
    FLUX 25-75%
    75%

    t
    1 2 3 4 sec

    OBSTRUCTIV
    -VEMS1/CV<70%
    -VEMS3/CV<95%
    -FEF 25-75%:
    Vml

    VC CV

    1 2 3 4

    RESTRICTIV
    -VEMS1/CV>70%
    -VEMS/CV>95%
    -FEF25-75%:N sau
    NORMAL
    FLUXUL l

    8-

    6- RESTRICTIV

    4-
    OBSTRUCTIV
    2-

    125% 100% 75% 50% 25% VOLUM 2


    FLUX
    l/sec Peak flow

    9-

    V max 50%
    6-

    V max 75%
    3-

    TCL 25% 50% 75%

    ASTM IN ASTM IN
    NORMAL CRIZA REMISIUNE
    CURBE FLUX – VOLUM
    EXPIR
    TIPURI DE OBSTRUCTIE

    FLUX
    FLUX
    FLUX

    CPT CPT
    CPT VR VR VR

    VOLUM VOLUM VOLUM

    INSPIR VARIABILA VARIABILA


    EXTRATORACICA INTRATORACICA
    1. METODA DILUTIEI HELIULUI IN CIRCUIT INCHIS

    Vspipom.x(He in – He fin
    CRF=
    He Fin

    2. METODA PLETISMOGRAFICA
    ΔP pletism
    CRF= P atm X
    Δ P gura

    3. METODA ELIMINARII AZOTULUI IN CIRCUIT DESCHIS

    MASURAREA CRF si a VR

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