solunum fonksİyon testlerİ pratİk
DESCRIPTION
SOLUNUM FONKSİYON TESTLERİ PRATİK. Sema Umut. Akım volüm Halkası. Değişken efor Yetersiz efor Yanlış başlangıç Ani bitiriş. Akım volüm Halkası. Kabul edilebilir Yetersiz efor Yanlış başlangıç Ani bitiriş. Yanlış başlangıç T AK den başlamamış. Akım volüm Halkası. Kabul edilebilir - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: SOLUNUM FONKSİYON TESTLERİ PRATİK](https://reader033.vdocuments.pub/reader033/viewer/2022061602/5681539b550346895dc19ea7/html5/thumbnails/1.jpg)
Sema Umut
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Akım volüm Halkası1. Değişken efor2. Yetersiz efor3. Yanlış başlangıç4. Ani bitiriş
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Akım volüm Halkası
1. Kabul edilebilir2. Yetersiz efor3. Yanlış başlangıç4. Ani bitiriş
![Page 6: SOLUNUM FONKSİYON TESTLERİ PRATİK](https://reader033.vdocuments.pub/reader033/viewer/2022061602/5681539b550346895dc19ea7/html5/thumbnails/6.jpg)
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Yanlış başlangıç
TAK den başlamamış
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Akım volüm Halkası
1. Kabul edilebilir2. Yetersiz efor3. Yanlış başlangıç4. Ani bitiriş
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Yetersiz efor
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PF
MEF50
FVC
Parameter Pred Test%PredIVC L 4.71 4.69 99.5FVC L 4.52 4.69 103.8
FEV1 L 3.67 3.83 104.3
FEV1/FVC % 81.27 81.71 100.5PEF L/min 532 382 71.8
FEF50 L/sec 4.83 4.82 99.7
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Akım volüm Halkası1. Kabul edilebilir2. Yetersiz efor3. Yanlış başlangıç4. Ani bitiriş
![Page 12: SOLUNUM FONKSİYON TESTLERİ PRATİK](https://reader033.vdocuments.pub/reader033/viewer/2022061602/5681539b550346895dc19ea7/html5/thumbnails/12.jpg)
PF
MEF50
FVC
Parameter Pred Test%PredIVC L 4.71 4.69 99.5FVC L 4.52 4.69 103.8
FEV1 L 3.67 3.83 104.3
FEV1/FVC % 81.27 81.71 100.5PEF L/min 532 382 71.8
FEF50 L/sec 4.83 4.82 99.7
Yanlış başlangıç
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PF
MEF50
FVC
Parameter Pred Test %PredIVC L 4.68 4.41 94.1FVC L 4.49 4.46 99.2
FEV1 L 3.64 4.27 117.3
FEV1/FVC % 81.09 95.86 118.2PEF L/min 530 617 116.4
FEF50 L/sec 4.80 5.78 120.5
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Akım volüm Halkası1. Kabul edilebilir2. Yetersiz efor3. Yanlış başlangıç4. Ani bitiriş
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PF
MEF50
FVC
Parameter Pred Test %PredIVC L 4.68 4.41 94.1FVC L 4.49 4.46 99.2
FEV1 L 3.64 4.27 117.3
FEV1/FVC % 81.09 95.86 118.2PEF L/min 530 617 116.4
FEF50 L/sec 4.80 5.78 120.5
Ani bitiriş
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Akım volüm Halkası
1. Kabul edilebilir2. Yetersiz efor3. Yanlış başlangıç4. Ani bitiriş
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Yanlış başlangıç
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Akım volüm Halkası
1. Büyük hava yolu obstruksiyonu2. Obstruktif vantilasyon bozukluğu3. Restriktif vantilasyon bozukluğu4. Kombine vantilasyon bozukluğu
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Obstruktif vantilasyon bozukluğu
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Akım volüm Halkası
1. Büyük hava yolu obstruksiyonu2. Obstruktif vantilasyon bozukluğu3. Restriktif vantilasyon bozukluğu4. Kombine vantilasyon bozukluğu
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Akım volüm Halkası
1. Büyük hava yolu obstruksiyonu2. Obstruktif vantilasyon bozukluğu3. Restriktif vantilasyon bozukluğu4. Kombine vantilasyon bozukluğu
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0 1 2 3 4 5 6
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Flo
w in
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Akım volüm Halkası
1. Büyük hava yolu obstruksiyonu2. Obstruktif vantilasyon bozukluğu3. Restriktif vantilasyon bozukluğu4. Kombine vantilasyon bozukluğu
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Akım volüm Halkası
1. İntratorasik hava yolu obstruksiyonu2. Ekstratorasik hava yolu obstruksiyonu
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Intra-torasik
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12F
low
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Akım volüm Halkası
1. İntratorasik hava yolu obstruksiyonu2. Ekstratorasik hava yolu obstruksiyonu
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Ekstra-torasik
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OLGU 76 yaşında,erkek KOAH lı hastaİş adamı50 paket/yıl sigara10 yıldır bırakmış
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Fonksiyonel bozukluk hangi tiptedir?
1. Obstrüktif
2. Restriktif
3. Kombine
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Restriktif ve obstrüktif bozukluğu en iyi ayırabilen parametrelerA. FEV1/FVC
B. VCC. TLCD. FEV1/FVC ve TLC
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TAK ve RV hangi teknikte daha yüksek çıkar?
1. He Dilüsyon2. Pletismografi3. Nitrojen Washout4. Hepsinde de ayni
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VOLÜMLERNitrojen Washout
TLC: 6510 ml(%122)RV: 3010ml(%114)
RV/TLC:%46
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VOLÜMLER Pletismografik
TLC: 7240 ml(%136)RV: 3780ml(%140)
RV/TLC:%52
Fark:710ml
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FP32 yaşında Ev hanım
YAKINMASI
Nefes darlığı Nonproduktif öksürük
Spirometri NORMAL
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Hangi testi istersiniz ?
1. Akım-volüm halkası2. Akciğer volümleri 3. Reversibilite4. Bronş provokasyon testi5. Difüzyon
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Bronşhiperreaktivitesi ?
1. Pozitif2. Negatif
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Tanı?
1. Astım2. KOAH
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Bronşhiperreaktivitesi ?
1. Pozitif2. Negatif
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PF
MEF50
FVC
Parameter Pred Test %PredIVC L 4.68 4.41 94.1FVC L 4.49 4.46 99.2
FEV1 L 3.64 4.27 117.3
FEV1/FVC % 81.09 95.86 118.2PEF L/min 530 617 116.4
FEF50 L/sec 4.80 5.78 120.5
Normal spirometrik inceleme,
DLCO/VA % 42
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Olası Tanı?
1. KOAH2. İnterstisyel akciğer hastalığı3. Pulmoner hipertasiyon4. Nöromuskuler hastalıklar5. Astım
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DLCO mL/mmHg/dak %26DLCO/VA mL/mmHg/dak /L %32
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Tanı?
1. Astım2. KOAH
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Tanı?
1. Astım2. KOAH
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DLCO mL/mmHg/dak %26DLCO/VA mL/mmHg/dak /L %32
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Olası Tanı?
1. Astım2. KOAH3. İnterstisyel akciğer hastalığı4. Nöromuskuler hastalıklar
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PF
MEF50
FVC
Parameter Pred Test %PredFVC L 4.49 4.46 99.2
FEV1 L 3.64 4.27 117.3
FEV1/FVC % 81.09 95.86 118.2PEF L/min 530 617 116.4
FEF50 L/sec 4.80 5.78 120.5
Normal spirometrik inceleme,
DLCO/VA % 98
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Olası Tanı?
1. Pulmoner hemoraji2. İnterstisyel akciğer hastalığı3. Pulmoner hipertasiyon4. Nöromuskuler hastalıklar
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Yetersiz testler yerine
HİÇ YAPMAMAK DAHA İYİ !