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Pruebas Funcionales Respiratorias - Espirometría — Transcript · YTtoTranscript

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Pruebas Funcionales Respiratorias - Espirometría

Medicina Interna D I · 1,951 words · 10 min read · EN

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Below is the complete, readable transcript of Pruebas Funcionales Respiratorias - Espirometría by Medicina Interna D I on YouTube. Read the full text, copy any part you need, or generate a transcript for any video with our free tool.

respiratory system assessment includes several tests [Music] As you can see, spirometry is part of the functional assessment, but it's not the only one. There are many more. We could say that the respiratory functional assessment and respiratory functional tests are divided into those that look at the ventilatory function of the respiratory muscles, the control of

breathing and gas exchange, as well as the response of the respiratory system. [Music] What we're going to see mainly is spirometry, which is a test of also the typology and within the respiratory muscles, injuries and issues for the muscular disease of the respiratory system is something that [Music] The next slide also saw some tests

of gas exchange, in which the most important of today are the traces of blood. This program [Music] The program's performance and the lesson that

[Music] to a verification, but the test of the mark of the 6 minutes, the patient who does not saturate in a way, if they saturate when it is exertion, makes us walk for minutes controlling the pulse oximetry, the saturation metry and polysomnography, which would be a family test [Music] response to sleep, like

gas exchange,

good with the and interchangeable well [Music]

[Music] then the study of the function, the most used and known, the air that can be inspired or the salted, the program goes

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[Music] talks about how, to guarantee the correct performance, there are international norms, obviously there have to be standards against which to compare in the measurement of the source, and also in this case, standards are made so that the patient can move a certain height, they will have a certain volume, they will be normal for this race,

why, and there you have two graphs of the volumes and capacities [Music]

[Music] the little dots and the definitions, the most important one is the capacity,

fundamentally, no, and the forced capacity, forced in the second, the relationship of a force capacity

and forced represents the total volume that the patient looks at in a forceful way after an inspiration

and the in the second in a forced way and it is usually 80% [Music] and that is why several [Music] biometry approximating normality and this is fundamental, the style Metrics allows us to call, diagnose the car plus the average morning study from yesterday, a possible profile, that is, it gives us the suspicion, but we have to confirm it

with others, which is retinography. From spirometry, it diagnoses obstruction and possible restriction, that is, if I have a suspicion of restriction by spirometry, I have to confirm it with the typology of obstructive respiratory diseases. I only need the people, and the first step for the analysis of an obstruction, I have to have the index in

it, see one about layers, we're doing well, because if the capacity and where it is decreased, the normal index can be assumed to be a possible obstruction, and we will see that later with another graph, which is great, and the severity of the obstruction when it is more and construction classified the speed according to Juan under this, see

[Music] there [Music] regulations propose that the others, the function is from it [Music], let's see what obstructions when Alves is below 70% of the value, and others say below 75. If we use 75, we will have more sense, obviously an interpretation was made of

the possible restriction The criteria are those percentages of the theoretical value below 80 would already exist, and I'm going to classify it according to the forced vital capacity. He classified the reflection another day according to him. 1. He classified the obstruction if it is mild or moderate. They have something related to the treatment,

and look at the peripheral life and chronic bronchitis system. It would be a bit reassuring of the bronze stay, also

only if there is some final by Beltrán [Music].

And it's interesting to look at it. Imagine how they could travel back the human body, the skin of all the structures that cross the skin of a great burn and obesity, that is, like the situation, and so its entrails, that is,

nerves and muscles get stuck and to the degree, and anyone transforming, and further inside the pleurae, there is the commitment of the flowers that can make them expand as appropriate, and it will generate, and further inside the lung parenchyma, but only the part of the exercise, and there we have all the enormous number of

indications and contraindications when I want, first suspicion of obstruction, and I have to lose, let's go to this first respective, I have to start a tour, okay, so some, and in a patient who There's a nurse [Music] respiratory nurses, I usually come as a councilor is also used to it, well, the pre-surgical thing

is an electrocardiogram, a cardiovascular evaluation, or rather with a program, the patient has respiratory diseases, a spirometry would be good, like one, and the communications, some are very

complicated

[Music]

or carrying everyone, there are prior recommendations, next, let's see what this has to do with it, not so much that they have to know it, but in mind that there are recommendations for the patient and recommendations regarding the suspension of the medications they take, so that the spirometry is for, because it's important to know, because if

the patient doesn't do the prior tests, when I read the study it may be that the study didn't give me results, but clinically, and one of the causes may be the patient, what does he want, refuge, they didn't explain what he had to do, and that can be frequent, also both our accounting and

the infections that clean all the equipment [Music], all the equipment / participation days, they have each day, the institutions for the performance of, always, that this is more of a technician, they have to obtain sizes of surplus, predicted, they would have to compare it later with values that the device, the medical history,

the patient Explain to him well how they are done, and after the bronchodilators are given, wait for the patient with the device in his mouth to take three breaths at maximum tidal volume, and then ask for a forced breath [Music]. Yes, fundamental. Look when it finishes and look at everything that was, that's what's

important because in addition to the values, they generate the curve [Music]. These are the graphs of the

complete curves, and over time the program, although it's interesting to see it, but so many fields, the large amount of data, and when you have to do a meticulous detail, but that's more

over time, there will be several components

that are usually attributed to the smallest day, the smallest, which can be, for example, that, stopped at the beginning in some obstructive respiratory part,

the volume in clays, a time [Music]. Then, vertical and horizontal volume, time, starts to pull 80% of the weight, 1, and the ability to do the maximum, at least, as we have already said, 6 seconds,

the spirometry of good quality, and this must be ensured, and the final technician, the number of maneuvers, which at least between 3 and 8, many agree that it would be three and Eight studies, so that we can then compare them and see the variability they have. Imagine if one has a completely normal pattern and to treat it,

then all these

things lead me to believe that the values have to have a variation of less than 5, specifically, so that it is usually reported with topics such as spirometry. It is assumed that if they report it, don't worry because this is an acceptable test and that it has to appear in the report, that's right,

and that today the cutoff point of the IFE is no less than 70 societies and other societies according to the guide, so this has not changed. Salbutamol is two doses of 200 micrograms, okay, love, and measurements. If both times they wait 15 minutes and the measurements are repeated to calculate all the values.

[Music] Perhaps both determination of the degree of the norm and if there is airway obstruction. [Music] With it, what is considered a positive bronchodilator response when there is an increase of 12%, the last column of the lesson, as I, percent more, the

same can happen that the [Music] increases the capacity of the president,

then We choose the geometry, diagnoses, obstructions, and possible ones,

and this is fundamental. We have the small algorithm, the acceptable test, revolution, and reproduction. We choose less than 5% of the variable. That data, if so, I'm going to look first at the index. It's not decreased, and the vital capacity is normal. I reported it as a spirometry, and the capacity, the normal vital capacity,

and the vital capacity is decreased. I spoke of a possible reptile, and here where I look at the percentage of the baby, I'm going to look at the table, and it said a possible moderate restriction. And what I'm going to ask this patient for is an athletics chart to confirm the reaction. We

go back to the index. If the index is decreased, it clearly diagnoses an airway obstruction, and I look at the index. I look at the index, I see that when it's decreased, and with that, I'm going to see that the little table in Mexico shows if it's mild, moderate, or moderately severe, severe.

And then I look at the bronchodilator test, and there it is present or not, okay?

And another way to express the patient's respiratory moments: initial inspiratory reaches its maximum, followed by a descent. Inspiration is also completed, and then the inspiratory portion is normal. [Music] with a The time on the left is enough and the obstructive pattern is sometimes, but the patient usually reaches the layer and the curve it describes is a

low one with a somewhat ramped curve and also flattened. The inspiring curve usually has a visible one with engraving, but the curve shortens in the [Music] direction. This would be a pure restrictive and a pure productive one. Not always, we are also used for several other things. This curve with no more complex time,

how and compared, is based on pressure and volume changes. I don't care,

and my resistance of the piece to them too, and it confirms the diagnosis of a calf. It conspired, it was completely confirmed. They have the photo, the typography, the patient, and the stimulus is given, as we talked about this more complex side, because otherwise, it is made to pant and other maneuvers to

measure. But remember then that athletics to confirm the network [Music] lesson to combat by expelling the monoxide and assesses the integrity of the barrier. It decreases with the previous alveolar units. It is obviously with 1 blood, and I know, for example, I have a patient with an altered kilometer-long spine and I suspect a restriction. I

ask for a Athletics graph confirms the pulmonary restriction, immediately afterward, as we were talking about today, it's not a molecule that travels from the skin to the lungs, there are a lot of causes in the region, anyway, clinically I could see that I suspect, even imagine clinically and imaging logically, but well, I don't have a

restriction and the patient has an altered selection, which means that the restrictive problem is still pending, there are other entities that will have a normal selection, I hope this is understood, otherwise we're going to