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Spiro lab

Mar. 19, 2023
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Spiro lab

  1. Lab 9: Spirometry Technique used to assess pulmonary function, specifically measuring lung volumes
  2. Lab 9 – Spirogram Figure 13.18 A tracing or graph of respiratory movement (or ventilation) made by a spirometer 1 3 2 4 1 Tidal volume (TV) Amount of air inhaled or exhaled in one breath Inspiratory reserve volume (IRV) Amount of air in excess of tidal inspiration that can be inhaled with maximum effort Expiratory reserve volume (ERV) Amount of air in excess of tidal expiration that can be exhaled with maximum effort Residual volume (RV) Amount of air remaining in the lungs after maximum expiration; keeps alveoli inflated between breaths and mixes with fresh air on next inspiration 8 5 7 6 Vital capacity (VC) Amount of air that can be exhaled with maximum effort after maximum inspiration (ERV + TV + IRV); used to assess strength of thoracic muscles as well as pulmonary function Inspiratory capacity (IC) Maximum amount of air that can be inhaled after a normal tidal expiration (TV + IRV) Total lung capacity (TLC) Maximum amount of air the lungs can contain (RV + VC) Amount of air remaining in the lungs after a normal tidal expiration (RV + ERV) Functional residual capacity (FRC) = summation of 2 or more lung volumes
  3. Lab 9 – Pulmonary Function Tests Group of noninvasive tests how well your lungs work Common measurements: • Vital Capacity (VC): Amount of air that can be exhaled with maximum effort after maximum inspiration • (FEV1): Volume of air that is forcefully exhaled within 1 second after a maximum inspiration. • (FEV1/VC): proportion of VC that can be forcefully exhaled in 1 second; in a healthy individual, it is > .80 These measurements, particularly FEV1/VC, indirectly assess [force expiratory]
  4. Lab 9 – Underlying Mechanism of Ventilation- Lung Mechanics and Properties 3. Compliance: How easily the lungs stretches 2. Airway resistance : Resistance to airflow η = fluid viscosity L = length of the tube 8/π = a mathematical constant r = inside radius of the tube R = 8 L η π r4 F = Airflow (L/min) R = Resistance to airflow Palv = Alveolar pressure 1. Pressure gradients: Pressure difference between points Patm = Atmospheric pressure
  5. Lab 9 – Underlying Mechanism of Ventilation –Lung Mechanics Figure 13.14 Inspiration (a) (b) Expiration (c) (d) 4. Elasticity (Elastic recoil): Tendency for lungs and chest wall to oppose stretching or distortion; If structure is stretch, it will tend to recoil back to it’s original shape 5. Skeletal muscle contraction and relaxation
  6. Lab 9 – Pulmonary Diseases: Obstructive vs Restrictive Obstructive Lung Disease Airways are obstructed which makes airflow difficult  Examples: • Asthma: Chronic inflammation of airways  causes the smooth muscle to contract  decrease radius • Emphysema: Atrophy and collapse of lower airways  decrease radius Restrictive Lung Disease Impaired respiratory movements because of abnormalities in the lung tissue, the pleura, the chest wall, or the neuromuscular machinery, but airflow is not affected  Example: Pulmonary Fibrosis: Lung tissue is damaged and scarred  tissue is thicken and stiffen From drugs.com From pennmedicine. org Chest x-ray of healthy lung From mayoclinic.org Chest x-ray of pulmonary fibrosis lung From wikipedia.org
  7. • Identify lung measurements on a spirogram and explain the underlying physiological mechanisms of each measurement. • Recall typical average values of the following lung volumes:  Residual volume (RV): female = 1100mL, male = 1200mL • Recall and calculate lung capacities, FEV1/VC ratio, and percentage change from control to disease state. • Compare and contrast lung measurements between the three pulmonary conditions (normal, obstructive, and restrictive). • Diagnose the pulmonary pathology based on the spirogram/lung measurements and predict how the symptoms would affect the lung measurements. Lab 9 – Goals (aka Learning Outcomes)
  8. Lab 9 – Experimental setup in BioPac Animal model: Human! Experimental Setup: This technique is very sensitive to baseline offset, so recording procedure must be followed exactly and subject must use maximal effort to obtain accurate results. Equipment for each lab group Device which measures air flow and then convert to volumes Breath into the “Inlet” Port Rubber stopper Yellow belt and green ratchet Pulse oximeter
  9. Lab 9 – Experimental setup in BioPac Control Baseline: Obstructive lung disease model: Restrictive lung disease model:
  10. Lab 9 – Data Display in BioPac Channel Setup Measurement Setup Measurement Value Channel 1 (CH1) and the blue plot represents airflow through the spirometer (L/second) Channel 2 (CH2) and the red plot represents the spirogram (L).
  11. Lab 9 – BioPac Navigating the graphs Spirometry measurements • Delta T: The difference in time between the end and beginning of the selected area. • Delta: The difference in amplitude between the end and beginning of the selected area. • P-P (Peak-to-Peak): The difference between the maximum and minimum amplitude values in the selected area.
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