Knowledge |
States Contraindications
and Relative Contraindications
of procedure.
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Preparation |
Clinical Standards for Procedures and Interventions. |
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Identifies and gathers required equipment: calibrated spirometer, disposable mouthpiece, nose clip, bacterial/viral filter, disinfecting supplies, calibration syringe per policy. |
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Assessment |
Assesses Vital Signs. |
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Screens for acute illness, recent surgery, or contraindications to forced exhalation; obtains height, weight, age, sex, and race for predicted values. |
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Implementation |
Performs daily calibration and verification according to ATS/ERS standards before testing. |
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Coaches patient through acceptable maneuvers: maximal inhalation, forceful rapid exhalation for at least 6 seconds (or until plateau), meeting repeatability criteria. |
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Documents acceptability grade and reports FEV1, FVC, and FEV1/FVC with LLN and predicted values. |
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Monitoring & Modifications |
Monitors patient tolerance, work of breathing, and oxygenation or ventilation response during the intervention. |
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Adjusts technique or device settings per patient response; discontinues testing and notifies provider if adverse reactions occur. |
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Encourages cough and assesses secretion clearance as indicated. |
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Post-Intervention |
Post-Intervention Management Steps. |
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