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16 Cards in this Set

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Define:FRC

FRC is a volume of air within the lungs at the end of passive expiration.



Elastic force of lungs and chest walls are equal

Body Box can measure what volumes?

FRC


TGV


Airway resistance

Define:TGV

Thoracic Gas volume



Gas trapped in the thorax. Eve behind the non communicating bullae.



Measured at end at end expiration (beginning of FRC) so TGV should be equal to measured FRC (200 cc wnl)

Define restriction by Body box

TLC < 80%



[Reduced RV can suggest restriction but not diagnosis restriction]

What two etiologies of lung restrictive are there?

Intrinsic lung diseases


and


Extrinsic Disorders

What are intrinsic lung diseases? ( By body box measurements )


Name examples

Theses diseases affect the parenchyma of the lung and are caused by inflammation or scarring or result in alveolar space filled with exudate. Exposure to dust, inhaled metal particles, solvents, and arming chemicals increase risk.


THIS IS RESTRICTIVE


E.G: Acute alveolar disorders, IPF, Sarcoidosis, pneumonia, atelectasis, edema

What are extrinsic lung disease? ( By body box measurements )


Name examples

Disorders that include factors that contribute to the mechanics of ventilation:


THIS IS RESTRICTIVE


E.G: Neuromuscular weakness, chest wall abnormalities, pleura dz.


What do theses values tell us for body box:



FRC > 120%



RV > 120%

FRC > 120% for body box = hyperinflation resulting in muscular and mechanical problems and manifest as SOB



RV > 120% is air trapping possibly found in asthmatics and may be reversible

What two values do body box show for hyperinflation and airtrapping?

FRC > 120% = hyperinflation



RV > 120% = airtrapping

What ares pros and cons about plethysmography?



[Pleh - this - mo- graphy]

Pros:


accurate


captures non communicating airways


values obtained much quick than He dilution and N washout


Cons:


Most expensive


Requires more cooperation


Can Overestimate FRC

Body box laws:

1.) Boyle's Law: Volume inversely to pressure


Temperature held constant



2.) Enclosed tubular system that is connected are equal. Pressure changes at the mouth = to alveolar.



Panting is kept within 1 HZ or 60 breath per min

Repeatability for body box?

3 acceptable test at 95% for FVC max

Body Box is diagnosis for ______



FVL is used to diagnosis ______

Body Box = Restrictive patients



FVL = Obstructive Patients

TLC < 80%

Restricted

RV > 120%

Air Trapping



Asthma

FRC > 120%

Hyperinflation


Mechanical and muscular problems