Spirometri

Fira Tania Khasanah

0818011021

Dr. Andreas Infianto, MM., Sp. P

SMF Penyakit Dalam RS A. Yani
Metro
Volume dan Kapasitas Paru

Total
lung
capacity
Tidal volume
Inspiratory reserve
volume
Expiratory reserve
volume
Residual volume
Inspiratory
capacity
Vital
capacity
Volume Statis
Volume tidal (VT)
Volume residu (RV)
Kapasitas vital (VC) = VT + IRV + ERV
Kapasitas total paru-paru (TLC) = VT + IRV
+ ERV + RV.
Kapasitas residu fungsional (FRC) = ERV +
RV.
Kapasitas inspirasi (IC) = VT + IRV.
Volume cadangan inspirasi (IRV)
Volume cadangan ekspirasi (ERV)
Volume dinamis
VC (Forced Vital Capacity) normalnya
+ 4 liter
FEV1 (Forced Expired Volume in one
second) normalnya + 3,2 liter
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Spirometri
Definisi
Tujuan
Indikasi
Kontra
indikasi
Pola Spirogram
Normal
Obstruktif
Restriktif
Mixed
Normal

1 2 3 4 5 6
1
2
3
4
V
o
l
u
m
e
,

l
i
t
e
r
s

Time, sec
FVC
5
1
FEV
1
= 4L
FVC = 5L
FEV
1
/FVC = 0.8

FEV
1
: % predicted > 80%

FVC: % predicted > 80%

FEV
1
/FVC: > 0.7 - 0.8
Obstruktif

V
o
l
u
m
e
,

l
i
t
e
r
s

Time, seconds
5
4
3
2
1
1 2 3 4 5 6
FEV
1
= 1.8L
FVC = 3.2L
FEV
1
/FVC = 0.56
Normal
Obstructive
Penyakit Paru Obstruktif

COPD
Asthma
Bronchiectasis
Cystic Fibrosis
Post-tuberculosis
Lung cancer (greater risk in COPD)
Obliterative Bronchiolitis
Restriktif

V
o
l
u
m
e
,

l
i
t
e
r
s

Time, seconds
FEV
1
= 1.9L
FVC = 2.0L
FEV
1
/FVC = 0.95
1 2 3 4 5 6
5
4
3
2
1
Normal
Restrictive

FEV
1:
normal or mildly reduced

FVC: < 80% predicted

FEV
1
/FVC: > 0.7
Penyakit Paru Restriktif

Pulmonary
Fibrosing lung
diseases
Pneumoconioses
Pulmonary edema
Parenchymal lung
tumors
Lobectomy or
pneumonectomy
Extrapulmonary
Thoracic cage
deformity
Obesity
Pregnancy
Neuromuscular
disorders
Fibrothorax
Mixed

V
o
l
u
m
e
,

l
i
t
e
r
s

Time, seconds
FEV
1
= 0.5L
FVC = 1.5L
FEV
1
/FVC = 0.30
Normal
Obstructive - Restrictive

FEV
1
: < 80% predicted

FVC: < 80% predicted

FEV
1
/FVC: < 0.7
Pemeriksaan Spirometri
Jenis-jenis spirometri
Pemeriksaan Spirometri
Persiapan pasien
Pengukuran FEV1, FVC
Interpretasikan
Pengukuran VC
Pengukuran Flow-volume
Flow-volume

Permasalahan
Keakuratan dan kulaitas dari
pembacaan spirometri
Perawatan dan kalibrasi alat
Kontrol infeksi


Spirometri diagnostic

Daftar Pustaka
Global Initiative for Chronic Obstructive Lung Disease
(GOLD) - www.goldcopd.org

Spirometry in Practice - www.brit-thoracic.org.uk

ATS-ERS Taskforce: Standardization of Spirometry.
ERJ 2005;29:319-338
www.thoracic.org/sections/publications/statements

Bellamy, David. 2005. A Practical Guide To Using
Spirometry In Primary Care. British Thoracic Society