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:
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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.
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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).
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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).
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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.
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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.
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Bronchoscopy:
- Utilizes a camera for close examination of the lungs.
- Identifies lesions, bleeding, or need for biopsy (tissue sampling for examination).
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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.