Respiratory Care

Outpatient Services

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Pulmonary Function Tests (PFT)

Pulmonary function tests (also called lung function tests) help measure how well your lungs are working. A PFT can be performed on an adult or a child. The tests measure the amount of air you breathe out (exhale) and how long it takes for you to exhale completely. These tests are done to diagnose lung conditions such as asthma and COPD. They may be done before and after you take certain medications. They may also be used to find out whether your shortness of breath gets worse with exercise. Over time, pulmonary function tests can help you and your healthcare providers see how well your treatment is working.
Patient Experience
A complete pulmonary function test has 3 parts. You may be given the entire test or only certain parts. The entire test is painless and can last 45–90 minutes. If you get tired, you can take a break between test sections.
Before The Test
Follow any instructions you are given to prepare for the test. Otherwise, your test may be canceled.
Stop smoking for 8–12 hours before the test.
Stop taking your breathing medication 4–24 hours before the test.
— Avoid caffeine and eat only a light meal. Also, limit the amount of fluids you drink.
Wear loose clothes that don’t restrict your breathing.
Tell the healthcare provider if you have any of these symptoms during the test:
Sore mouth
Chest, arm, or jaw pain
Fatigue or dizziness
Severe shortness of breath
During The Test
The healthcare provider will coach you during your test. Depending on how many parts of the test you have, you may sit in a chair and breathe through a mouthpiece. Or you may sit in a clear plastic box that looks like a phone booth. You will wear nose clips so you only breathe through your mouth.
During spirometry, you hold your breath and blow it out fast. Spirometry is repeated at least 3 times to measure your best effort.
— During diffusion, you hold your breath for 10 seconds. The test measures how well your lungs move air into your blood.
During lung volume, you breathe in different mixtures of air. How much air you inhale and exhale is measured. The amount of air that stays in your lungs is also measured.
After The Test
After the test, you can return to your normal diet, activity, and medications. If you were asked to skip medications before the test, ask if you should take them now. Your doctor will discuss the test results with you at your next visit.
Words You May Hear
Pulmonary function tests measure how much air you can exhale, and how quickly. There are several types of pulmonary function graphs that show data from the tests. Some of the things that tests measure include:
— FVC (forced vital capacity). This is the total amount of air you can exhale in a single, prolonged breath.
— FEV1 (forced expiratory volume in one second). This is the amount of air you exhale in the first second. FEV1 is often expressed as a percentage of FVC.
FEV1/FVC. This is the amount of air exhaled in the first second compared to the total amount of air exhaled. It’s given as a ratio (fraction) or a percentage. In general, the higher the FEV1/FVC, the better.
PEF (peak expiratory flow): this is a measure of how fast you can exhale. It can be tested with spirometry or a peak flow meter.

What Is a Pulmonary Rehabilitation Program?

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Pulmonary rehabilitation (rehab) is a program that helps you breathe better and improves your overall health and strength. The program is run by a team of medical professionals who are specially trained to treat people with lung disease. With the team’s help, you’ll learn about your condition and gain skills to help you manage it.
Program Features
Parts of a pulmonary rehab program include:
— Exercise to help you increase endurance, strength, and flexibility. You may walk, ride a stationary bike, or do exercises in a chair. You will be taught stretches to do before and after exercise. You may also use weights to build strength. Your pulse, heart rate, and oxygen levels may be checked during exercise.
— Education, including how the lungs work and how your lung problem affects your breathing.
— Medication and equipment education, such as how and when to take medications, and how to use oxygen (if prescribed).
— Breathing techniques to help you learn to control shortness of breath. These include pursed-lip and diaphragmatic breathing.
Program Benefits
You’ll be surprised at how much you can achieve! Pulmonary rehab will help you:
— Do more of the things you enjoy.
— Improve your strength, endurance, and independence.
— Do daily activities, such as household tasks, with less shortness of breath.
— Understand your symptoms and medications. This can mean fewer emergency room visits and less time in the hospital.
— Learn to relax and not panic when you feel short of breath.
— Quit smoking. Even now, this is the most important change you can make for your health.
— Get answers to your healthcare questions.
— Set and meet realistic goals.

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