Activity 16 PS-2820 Volume of Breath – Pulmonary Function Test Physiology: Breathing, pulmonary function Qty 1 1 DataStudio GLX setup file: breath.glx Equipment and Materials PASPORT Xplorer GLX PASPORT Spirometer Part Number PS-2002 PS-2152 Purpose The purpose of the activity is to explore the pulmonary function test (PFT) and the volume of breath. Background Breathing in and out (inhaling and exhaling) is as natural as anything we do. Our respiratory system manages the complex task of exchanging gases – oxygen for carbon dioxide - with the circulatory system. The lungs are spongy organs filled with countless small sacks called alveoli that are surrounded by networks of the smallest blood vessels called capillaries. The alveoli and capillaries ‘trade’ gas particles as the blood in the capillaries moves along near the alveoli. A pulmonary function test (PFT) is a common clinical test that uses a spirometer to measure how well a patient's lungs are working. A spirometer is an instrument that measures the amount of air that is moved during breathing. During this test, a patient breathes through the spirometer for several quiet breathing cycles and one forced breathing cycle (one large inhalation followed by one large exhalation). The PFT can provide important measurements in a graph of volume exchanged over time. One of the more significant measurements is Forced Expiratory Volume in one second (FEV1), which provides an indication of how well a patient can exhale during maximum effort. FEV1 is typically reduced in patients with obstructive lung diseases (e.g. asthma, chronic bronchitis, emphysema) and increased in patients with restrictive lung diseases (e.g. pulmonary fibrosis). The Forced Expiratory Volume Percentage (FEV1 %) is typically 75% to 85% in a healthy subject. Pre-lab Questions Measure the volume of air inhaled and exhaled during normal and force breathing. Use the data to determine the Forced Expiratory Volume in one second (FEV1), and then calculate the Forced Expiratory Volume Percentage (FEV1 %). 1. How will the volume of air inhaled and exhaled by females compare to the volume of air inhaled and exhaled by males? 2. How will the Forced Expiratory Volume Percentage (FEV1 %) for females compare to the FEV1 % for males? Biology with Xplorer GLX © 2005 PASCO p. 103 Activity 16 Volume of Breath – Pulmonary Function Test PS-2820 A PFT usually includes the measurements of four specific lung volumes. 1. Tidal volume (TV) is the volume of one breath, or the amount of air moved into and out of the lungs during quiet breathing (breathing without effort). 2. Expiratory reserve volume (ERV) is the amount of air moved out of the lungs during a forced expiration (exhalation), below the level of tidal expiration (exhalation). 3. Inspiratory reserve volume (IRV) is the amount of air moved into the lungs during a forced inspiration (inhalation), above the level of tidal inspiration (inhalation). 4. Residual volume (RV) is the amount of air remaining in the lungs at the end of a forced expiration. This volume is not directly measurable using a spirometer, but it can be measured using other techniques. • Forced Expiratory Volume in one second (FEV1) is the volume of air moved out of the lungs in the first second of a forceful expiration following a maximal inspiration. This is a valuable test for pulmonary function, especially in cases of asthma or emphysema. Biology with Xplorer GLX © 2005 PASCO p. 104 Activity 16 Volume of Breath – Pulmonary Function Test PS-2820 A Pulmonary Function Test also includes the measurement of four specific lung capacities. 1. Inspiratory Capacity (IC) is the maximum amount of air that can be inspired after a normal expiration (IC = TV+IRV). 2. Vital Capacity (VC) is the maximum movable amount of air contained by the lungs (VC = TV+IRV+ERV). 3. Functional Residual Capacity (FRC) is the amount of air left in the lungs after a normal expiration (FRC = RV+ERV). Because RV cannot be directly measured using a spirometer, FRC cannot be directly measured. 4. Total Lung Capacity (TLC) is the total volume that the lungs can hold during a maximum inspiration (TLC = RV+ERV+TV+IRV). Because it involves the residual volume, TLC cannot be measured in spirometry. Biology with Xplorer GLX © 2005 PASCO p. 105 Activity 16 Volume of Breath – Pulmonary Function Test PS-2820 Safety Precautions • Follow all directions for using the equipment. Procedure GLX Setup 1. Connect a PASPORT Spirometer to the top of the GLX. The Graph Screen will automatically open with Lung Volume (Liters) versus Time (s). 2. Open the GLX setup file labeled breath.glx (see the appendix at the end of this activity). The setup file is set so the Spirometer records data at 50 measurements per second. The setup file includes the calculation of lung volume based on Functional Residual Capacity (assumed to be 2.5 liters) and Total Flow (liters). Figure 1: Connect sensor to GLX Equipment Setup 1. Connect a mouthpiece to the handle; note the small pin on the mouthpiece and the aligning notch on the handle. 2. Lay the mouthpiece and handle on a tabletop away from any air currents. Prepare to Record Data • Data recording is easier if one person handles the GLX, a second person keeps track of the number of breaths, and a third person does the breathing. Figure 2: Connect mouthpiece to handle • The breathing pattern is as follows: Four normal breaths followed by a very deep breath in (inspiration) and a very, very deep breath out (expiration) followed by two more normal breaths. • The person who keeps track of breaths should ‘talk’ the person through the breathing by counting and describing the breaths as follows: One – Two – Three – Four – Deep Breath In – Deep Breath Out – Five – Six. • The person who is being measured (the ‘breather’) should sit or stand comfortably. The person will need to breath only through the mouth during the measurement, so the person will need to hold his or her nose closed during the measurement. The person who is being measured should NOT look at the data as it is recorded. Biology with Xplorer GLX © 2005 PASCO p. 106 Activity 16 Volume of Breath – Pulmonary Function Test PS-2820 Record Data 1. Press the Start key on the GLX. Note the flashing red WAIT indicator on the sensor. Wait until the green READY indicator is lit before you move the mouthpiece and handle. 2. After the green READY indicator is lit, place the tapered end of the mouthpiece between the breather’s front teeth with the lips creating a seal around the mouthpiece to make sure that all breath flows through the mouthpiece. 3. Have the breather hold his or her nose and then perform the following breathing sequence: • Four normal, quiet breaths. • Deep inspiration (inhalation) followed immediately by a maximum-effort, deep expiration (exhalation). • Two normal, quiet breaths. 4. Stop data recording. Indicators Analysis 1. Use the built-in analysis tools in the Graph Screen to determine the Tidal Volume (TV), the Forced Expiratory Volume (FEV1), and the Vital Capacity (VC). • In the Graph Screen, press F3 to open the Tools menu and select ‘Delta Tool’. Use the Delta Tool to find the values you need. 2. Record the Tidal Volume, Forced Expiratory Volume (FEV1), and Vital Capacity in the Data Table. 3. Use the Forced Expiratory Volume (FEV1) and the Vital Capacity to calculate the Forced Expiratory Volume Percentage (FEV1%) and record this value. 4. Determine whether there are differences between females and males in the Tidal Volume and the Forced Expiratory Volume Percentage (FEV1%). Record your results in the Lab Report section. Biology with Xplorer GLX © 2005 PASCO p. 107 Activity 16 Volume of Breath – Pulmonary Function Test PS-2820 Appendix: To open a specific GLX file, go to the home screen (press ). In the home screen, select ‘Data Files’ and press ‘Activate’ ( ). Use the cursor keys to navigate to the file you want. Press F1 ( ) to open the file. Biology with Xplorer GLX © 2005 PASCO p. 108 Activity 16 Volume of Breath – Pulmonary Function Test PS-2820 Lab Report - Activity 16: Volume of Breath Name ________________________________ Date ___________ Pre-lab Questions Measure the volume of air inhaled and exhaled during normal and force breathing. 1. How will the volume of air inhaled and exhaled by females compare to the volume of air inhaled and exhaled by males? 2. How will the Forced Expiratory Volume Percentage (FEV1 %) for females compare to the FEV1 % for males? Data Make a sketch of one run of Lung Volume versus Time, including labels for the y- and x-axes. Data Table Measurement Value Tidal Volume (TV): volume of one breath Forced Expiratory Volume in 1 second (FEV1) Vital Capacity (VC): maximum air in the lungs Forced Expiratory Volume Percentage (FEV1%) Biology with Xplorer GLX © 2005 PASCO p. 109 Activity 16 Volume of Breath – Pulmonary Function Test PS-2820 Questions 1. How does the Tidal Volume (TV) for females compare to the Tidal Volume (TV) for males? 2. How does the Forced Expiratory Volume Percentage for females compare to the Forced Expiratory Volume Percentage for males? 3. How did the results compare to your answers to the Pre-Lab Questions? Biology with Xplorer GLX © 2005 PASCO p. 110