Internal Medicine

Download Vital Lung Function (Vital Guides) by Rachel Booker PDF

By Rachel Booker

This booklet comprises crucial details when you are interested by breathing care. it's an excellent reference for expert nurses, perform nurses, GPs, and all these healthcare pros who want a operating wisdom of lung functionality trying out.

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In the event of an infectious patient being inadvertently tested you will then be able to assess risk and trace any vulnerable patients 4 4 | V I T AL LU NG F UNC T I O N Vital Lung Function Final:Vital Lung Function 26/10/07 10:17 Page 45 C O NTRA I NDI C A TION S T O SPIROMET RY ■ Forced expiratory manoeuvres raise intra-cranial, intra-thoracic and intra-abdominal pressures ■ There are no absolute contraindications to performing spirometry. It is generally a safe procedure and is rarely needed as an emergency.

The standard reference equations for use in Europe are those produced for the European Community for Coal and Steel (Quanjer et al 1993) REFERENCES Nunn AJ, Gregg I (1989) New regression equations for predicting peak expiratory flow in adults. British Medical Journal 298: 1068–70 Quanjer PH, Tammeling GJ, Cotes JE et al (1993) Lung volumes and forced ventilatory flows: Report working party standardization of lung function tests, European Community for Steel and Coal. Official statement of the European Respiratory Society.

Make sure that you wash your hands before and after handling spirometry equipment and between patients ■ Patients with known, active respiratory infection should not have spirometry measurements taken, except when they are urgently needed for sound medical reasons. Such situations are rare, but in this case do the test at the end of the day on equipment that can then be dismantled and sterilised after use USI NG A SPI ROM ETER | 4 3 Vital Lung Function Final:Vital Lung Function 26/10/07 10:17 Page 44 ■ Immunocompromised patients (such as those with HIV, AIDS, posttransplant patients, etc) should be tested at the beginning of each day on newly sterilised equipment Mouthpieces, nose-clips and filters ■ Mouthpieces should be disposable or autoclavable, and nose-clips, if they are used, should be disposable ■ In primary care settings inspiratory manoeuvres are rarely necessary and disposable, one-way mouthpieces that prevent accidental inhalation through the spirometer can reduce cross-infection risk ■ Careful hand-washing and the use of disposable gloves for handling used mouthpieces will also reduce risk ■ Disposable viral and bacterial filters can be used to prevent contamination of equipment used for inspiratory manoeuvres Cleaning procedures ■ Any part of a spirometer that comes into contact with mucous membranes can be contaminated with saliva or mucus.

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