By Rachel Booker
This publication comprises crucial details while you're focused on breathing care. it truly is an awesome reference for professional nurses, perform nurses, GPs, and all these healthcare pros who want a operating wisdom of lung functionality trying out.
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Extra info for Vital Lung Function (Vital Guides)
If you don’t, the tests will not be helpful and you will have wasted your time ■ Although some tests require you to blow as hard as you can, you will be able to rest between tests and get your breath back ■ Being properly prepared for your appointment will help to make the tests as easy and useful as possible ■ When you have an appointment for a spirometry test the following simple ‘dos and don’ts’ will help you prepare and will help get the most accurate information from the test results: ❏ DO wear loose and comfortable clothing that does not restrict or interfere with your breathing ❏ DO arrive in plenty of time for your appointment so that you are relaxed and have time to visit the toilet before your test ❏ DON’T eat a big meal within 2 hours of the start of your appointment.
Encourage them to remain sitting upright and to keep their shoulders relaxed. Make sure that they maintain a tight seal around the mouthpiece with their lips ■ Inspiratory vital capacity can be recorded. This may be significantly higher than expiratory vital capacity in patients with airflow obstruction FVC/FEV1 ■ Nose-clips are not essential for forced manoeuvres, but can be tried if there are difficulties obtaining reproducible results ■ Demonstrate or explain the manoeuvre to the patient. Stress that they will need to make an absolutely maximum effort and should try to empty their lungs as completely as possible, as fast as possible ■ Ask them to take a rapid, but unforced, maximum breath in 4 8 | V I T AL LU NG F UNC T I O N Vital Lung Function Final:Vital Lung Function 26/10/07 10:17 Page 49 ■ When they have completely filled their lungs they should place the mouthpiece of the spirometer between their teeth, so that their tongue does not occlude it, and make a tight seal around it with their lips ■ They should then immediately, using maximum effort, exhale as hard and as fast as possible until they are unable to exhale any further ■ Wait at least 1 minute before attempting another recording VITAL POINTS ✱ Spirometry is hard work!
It can be compared to a ‘big sigh’ ✱ Verbally encourage the patient to keep exhaling steadily until they have completely emptied their lungs and are unable to exhale further. Some electronic spirometers detect when airflow through the spirometer has ceased and give an audible or visual signal. This informs you when the patient has reached VC and can stop blowing ✱ Observe the patient throughout the manoeuvre. Encourage them to remain sitting upright and to keep their shoulders relaxed. Make sure that they maintain a tight seal around the mouthpiece with their lips ■ Inspiratory vital capacity can be recorded.
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