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Spirometry - PFT Interpretation Algorithm

- BWH Medicine Chiefs @BrighamChiefs

#Spirometry #PFTs #Interpretation #Algorithm #diagnosis #differential #pulmonary #function
Spirometry - PFT ... Interpretation ... Algorithm - BWH ... differential #pulmonary #function ... #testing
Pulmonary Function Testing (PFT) Interpretation Algorithm

Restrictive Lung Disease:
 • Chest wall or neuromuscular disorders
 • Interstitial
Pulmonary Function ... Testing (PFT) Interpretation ... Algorithm Restrictive ... #Testing #PFT # ... PFTs #Interpretation
Pulmonary Function Test (PFT) Interpretation Algorithm

Approach to PFTs:
1) Look at Flow-Volume Loop if available
2) FEV1/FVC <
Pulmonary Function ... Test (PFT) Interpretation ... Algorithm Approach ... (diffusion defect ... #Test #PFT #Interpretation
RHEUMATOID LUNG DISEASE:
•	RA-associated interstitial lung disease (RA-ILD).
•	Pleural disease (pleural thickening/effusions).
•	Airway disease (Both upper & lower airway).
•	Rheumatoid
WCC <5000/mm3 • Fluid ... /Dl • Pleural fluid ... Pulmonary function ... testing in ILD ... (PFT): • Reduced
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
hemodynamics and cardiac function ... needing a little fluid ... achieved negative fluid ... #differential #algorithm ... #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Assess functional ... any evidence of fluid ... Functional status ... event, follow ACC algorithm ... medical and surgical management
The crusade against “Ab”Normal Saline continues.  This is a non-physiologic fluid that can harm our
non-physiologic fluid ... derangements in function ... blood flow and perfusion ... patients we are all treating ... #criticalcare #management