Pulmonary Function Testing
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What is the test?
Your doctor can get a great
deal of information about your lungs and lung function by doing a series
of tests called pulmonary function testing. These tests can tell your
doctor what quantity of air you breathe with each breath, how efficiently
you move air in and out of your lungs, and how well your lungs are
delivering oxygen to your bloodstream.
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How do I prepare for the
test?
No preparation is necessary.
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What happens
when the test is performed?
This testing is done in a
special laboratory. During the test, you are instructed to breathe
in and out through a tube that is connected to various machines.
A test called spirometry measures
how forcefully you are able to inhale and exhale when you are trying
to take as large a breath as possible. The lab technicians encourage
you to give this test your best effort, because you can make the test
result abnormal just by not trying hard.
A separate test to measure
your lung volume (size) is done in one of two ways. One way is to have
you inhale a small carefully measured amount of a specific gas (such
as helium) that is not absorbed into your bloodstream. This gas mixes
with the air in your lungs before you breathe it out again. The air
and helium that you breathe out is tested to see how much the helium
was diluted by the air in your lungs, and a calculation can reveal
how much air your lungs were holding in the first place.
The other way to measure lung
volume is with a test called plethysmography. In this test, you sit
inside an airtight cubicle that looks like a phone booth, and you breathe
in and out through a pipe in the wall. The air pressure inside the
box changes with your breathing because your chest expands and contracts
while you breathe. This pressure change can be measured and used to
calculate the amount of air you are breathing.
Your lungs' efficiency at
delivering oxygen and other gases to your bloodstream is known as your
diffusion capacity. To measure this, you breathe in a small quantity
of carbon monoxide (too small a quantity to do you any harm), and the
amount you breathe out is measured. Your ability to absorb carbon monoxide
into the blood is representative of your ability to absorb other gases,
such as oxygen.
Some patients have variations
of these tests-for example, with inhaler medicines given partway through
a test to see if the results improve, or with a test being done during
exercise. Some patients also have their oxygen level measured in the
pulmonary function lab (see "Oxygen saturation test,"
page 29).
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What risks are there
from the test?
There are no risks.
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Must
I do anything special after the test is over?
No.
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How
long is it before the result of the test is known?
Your doctor will receive a
copy of your test results within a few days and can review them with
you then.
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