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Chapter 6 Selected Diseases and Disorders of the Respiratory System

Respiratory Diseases and Disorders – Diagnostic Tools

Zoë Soon

Importance of Diagnostic Tests:

  • Diagnostic tests play a crucial role in determining the underlying issues affecting the respiratory or cardiovascular system.
  • They help differentiate between problems within these systems and guide the appropriate treatment.

Diagnostic Tests Utilized in Detecting and Monitoring Respiratory Diseases and Disorders:

  1. Spirometry:

  • Measures lung volumes, including tidal volume (amount of air moved in and out during rest, ~500 mL for healthy adult).
  • Indicates potential respiratory tract or lung problems if volumes are lower than normal.
  • Airflow time is measured to determine how quickly air moves through the lungs.
  • Used for pulmonary function tests to assess lung efficiency and its impact on blood oxygen and carbon dioxide levels.
  1. Arterial Blood Gas Test:

  • Measures oxygen and carbon dioxide levels, and blood pH.
  • Detects inefficient blood oxygenation or carbon dioxide removal.
  • High carbon dioxide levels can lead to increased acidity (carbonic acid in the blood).
  1. Oximeter:

  • Non-invasive test using infrared light to assess blood oxygenation levels.
  • Hemoglobin’s ability to absorb light differs based on its oxygenation state.
  • Provides percentage oxygen saturation (95%-98% is typically normal).
  1. Exercise Tolerance Test:

  • Evaluates respiratory and cardiovascular system performance under physical exertion.
  • Identifies issues that only become apparent during activity (oxygen deficiency during exertion).
  • Exercise to 80% of max heart rate (calculated as 220 minus age).
  • Monitors EKG/ECG and blood pressure changes under stress.
  1. Medical Imaging:

  • Ultrasound: Non-invasive imaging to observe heart and lung conditions.
  • X-ray, CT, MRI: Provides detailed imagery of the lungs and heart at rest and post-exercise.
  • Detects abnormalities like cancer, pulmonary edema, heart movement issues.
  1. Bronchoscopy:

  • Utilizes a camera for close examination of the lungs.
  • Identifies lesions, bleeding, or need for biopsy (tissue sampling for examination).
  1. Infection Testing:

  • Swabs from nose/throat or sputum collection to test for pathogens.
  • Identifies bacterial, viral, or fungal infections to determine appropriate treatment.

Treatment Planning:

  • Based on infection type, treatments include antibiotics (for bacterial infections), antivirals (for viral infections), and antifungals (for fungal infections).

Summary:

Diagnostic tests offer valuable insights into the functioning and health of the respiratory and cardiovascular systems, facilitating the accurate identification of issues and guiding treatment strategies.

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