SPIROMETRY (XVIII). RECORDING OF THE FORCED VITAL CAPACITY (XIX). Dep. of Physiology, Fac. of Medicine, MU 2015 © © Ksenia Budinskaya Static lung volumes V [l] VT: Tidal volume – volume of air inspired during quite inspiration (after quite expiration) IRV: Inspiratory reserve volume – the maximal volume of additional air that can be inspired by forced inspiration after normal inspiration ERV: Expiratory reserve volume – the maximal volume of additional air that can be expired by forced expiration after normal expiration RV: Residual volume – volume of air that remains in lungs after the maximal forced expiration VT – 0.5 l IRV – 2.5 l ERV – 1.5 l RV – 1.5 l VT IRV ERV RV V [l] Static lung volumes - capacities Vital capacity [VC] = IVR + VT + ERV Functional residual capacity [FRC] = ERV + RV Total lung capacity [TLC] = IRV + VT + ERV + RV VT IRV ERV RV Bradypnoea – decreased frequency Tachypnoea – increased frequency Eupnoea – normal (resting) breathing Apnoea in inspiration Apnoea in expiration Normal (resting) breathing: Frequency: 10 – 18 breaths/min Tidal volume: 0.5 l Minute ventilation: 5 – 9 l/min Dynamic lung volumes Changes of frequency Recording of forced vital capacity V [l] Time [s] 1 s 2 s 6 5 4 3 2 1 0 RVFVC FEV1 FEV1 – amount of air expired after the maximal inspiration with the maximal effort in 1 s (FEV1 ≥ 80% od VC) FVC – forced vital capacity FVC Obstructive diseases (↓FEV1) • Tracheal stenosis • Asthma, bronchitis • COPD • Tumors in airways 0 1 2 3 4 5 1 s 2 s V [l] Time [s] Restrictive diseases (↓FVC) Pulmonary causes • Pulmonary fibrosis • Resection of lungs • Pulmonary edema • Pneumonia Extrapulmonary causes • Ascites • Kyfoscoliosis • Serious burn 0 1 2 3 4 5 1 s 2 s V [l] Time [s] VCVC