What instructions should a medical assistant give a patient undergoing pulmonary function tests?

About the Test

A complete pulmonary function test has three parts. You may be given the entire test or only certain parts. The entire test is painless and can last 45–90 minutes. If you get tired, you can take a break between test sections.

Before Your Test

Follow any instructions you are given to prepare for the test. Otherwise, your test may be canceled.

  • Avoid smoking for 12–24 hours before the test or stop as directed.
  • Stop taking your breathing medication 6 hours before the test.
  • Avoid caffeine and eat only a light meal. Also, limit the amount of fluids you drink.
  • Wear loose clothes that don’t restrict your breathing.

Tell the healthcare provider if you have any of these symptoms during the test:

  • Sore mouth
  • Chest, arm, or jaw pain
  • Fatigue or dizziness
  • Severe shortness of breath

During Your Test

The healthcare provider will coach you during your test. Depending on how many parts of the test you have, you may sit in a chair and breathe through a mouthpiece. Or you may sit in a clear plastic box that looks like a phone booth. You will wear nose clips so you only breathe through your mouth.

What instructions should a medical assistant give a patient undergoing pulmonary function tests?

  • During spirometry, you hold your breath and blow it out fast. Spirometry is repeated at least 3 times to measure your best effort. Spirometry measures how much air you can take into your lungs and how fast you can blow the air out.
  • During diffusion, you hold your breath for 10 seconds. The test measures how well your lungs move air into your blood.
  • During lung volume, you breathe in different mixtures of air. How much air you inhale and exhale is measured. The amount of air that stays in your lungs is also measured.
  • During arterial blood gases, a small sample of blood is taken from a blood vessel (artery) in your wrist. The amount of oxygen, carbon dioxide and hemoglobin are measured.
  • During methacholine challenge, you will be asked to inhale, via a nebulizer, increasing concentrations, up to 5 levels, of a medication (methacholine). After each level you will be asked to perform a spirometry test. This test is used to help diagnose bronchial hyperreactivity (asthma), and is also known as a bronchial challenge test.
  • 6-Minute Walk, you will be asked to walk, at your normal pace, in the corridor for up to 6 minutes. Before and after the walk, your oxygen saturation (percent hemoglobin carrying oxygen) and heart rate will be taken using a non-invasive monitor (pulse oximetry) attached to your finger.

After Your Test

After the test, you can return to your normal diet, activity, and medications. If you were asked to skip medications before the test, ask if you should take them now. Your doctor will discuss the test results with you at your next visit.

Words You May Hear

Pulmonary function tests measure how much air you can exhale, and how quickly. There are several types of pulmonary function graphs that show data from the tests. Some of the things that tests measure include:

  • FVC (forced vital capacity) is the total amount of air you can exhale in a single, prolonged breath.
  • FEV1 (forced expiratory volume in one second) is the amount of air you exhale in the first second. FEV1 is often expressed as a percentage of FVC.
  • FEV1/FVC is the amount of air exhaled in the first second compared to the total amount of air exhaled. It’s given as a ratio (fraction) or a percentage. In general, the higher the FEV1/FVC, the better.
  • PEF (peak expiratory flow) is a measure of how fast you can exhale. It can be tested with spirometry or a peak flow meter.
  • RV (residual volume) is the amount of air left in the lung following a maximal exhalation.
  • FRC (functional residual capacity) is the amount of air that remains in our lung, as we breathe normally at rest.
  • TLC (total lung capacity) is the total amount of air that our lungs can hold after taking a maximal inhalation.
  • DL (diffusion of the lung) is a measurement that reflects gas exchange (such as oxygen) in the lung.

What instructions should a medical assistant give a patient undergoing pulmonary function tests?

A pulmonary function test (PFT) is a diagnostic test used to evaluate lung function. It provides important information about your lungs, including volume and lung capacity as well as the rates of airflow and gas exchange.

A PFT, or lung capacity test, can help your doctor diagnose many lung disorders or evaluate the severity of an existing lung condition. Pulmonary function testing is frequently used to assess disease progression and to monitor clinical response to treatment. In addition, the test may be used to assess how well your lungs are functioning before undergoing surgery.

What Lung Issues Can a PFT Test Detect?

What instructions should a medical assistant give a patient undergoing pulmonary function tests?

If you have a chronic cough, shortness of breath, COPD, asthma, problems with oxygenation, or if you are exhibiting symptoms indicating the potential presence of interstitial lung disease, such as pulmonary fibrosis, Dr. Bowen may recommend that you undergo a pulmonary function test in order to accurately diagnose your condition.

Why Choose MXBowen Physician, P.C. for My PFT Test

At MXBowen, Physician, P.C., Health & Breathing Center in NYC, our facility is equipped with the latest technology for pulmonary function testing so patients can have the test performed from the comfort and convenience of our office. Dr. Bowen has over three decades of pulmonary experience and is dedicated to providing the highest quality care with an emphasis on individualized patient experience. If you require a pulmonary function test, schedule an appointment  or call 212.480.4062 for an evaluation. Appointments will be confirmed by office staff.

How does a pulmonary function test (PFT) work?

A pulmonary function test involves breathing into a handheld device that’s connected to a specialized machine, called a spirometer, which measures lung function through a series of tests. The machine records how much and how quickly you can move air in and out of your lungs, collecting data about airflow, lung volumes, and lung capacity as well as measures of gas exchange.

What instructions should a medical assistant give a patient undergoing pulmonary function tests?

A medical assistant will explain each aspect of the test as you’re being evaluated so that you feel comfortable and at ease throughout the entire PFT procedure.

How Long Does a PFT Test Take?

The entire process takes less than 30 minutes. In advance of your pulmonary function test, Dr. Bowen will provide a list of simple instructions for how to prepare for the test.

What are the advantages of a pulmonary function test?

  • Performed in-office
  • Noninvasive test
  • Delivers prompt, accurate results in less than 30 minutes
  • Provides valuable information that can be used to diagnose pulmonary issues as well as monitor a variety of different respiratory tract disorders
  • Monitors a patient’s response to treatment

What Our Patients Have to Say

“Very thorough doctor. Takes his time with every patient. Diagnosed my problem and prescribed the treatment needed.”

“Dr. Bowen is an excellent doctor. I travel three hours by train just to see him and it is well worth it. He has been a tremendous help to me.”

What can I expect after undergoing a pulmonary function test?

After undergoing a PFT, Dr. Bowen will interpret your results and identify whether there is evidence of functional physiologic derangements that may indicate possible respiratory disease. If you have already been diagnosed with lung disease, the pulmonary function test results will be examined to see whether your disease has progressed or whether a specific treatment is working. Using this information, Dr. Bowen will be able to determine what the next steps for testing or treatment should involve.

Schedule a Consultation

Whether you are suffering from symptoms that may necessitate a PFT such as a chronic cough or shortness of breath or you are looking for a doctor to perform your pulmonary function testing in NYC, contact our office to schedule an appointment with Dr. Bowen.

What are the instructions for a pulmonary function test?

To prepare for your pulmonary function test, follow these instructions:.
No bronchodilator medication for four hours..
No smoking for four hours before the test..
No heavy meals..
Do not wear any tight clothing..
The complete pulmonary function test takes around one and a half hours..

What should a patient refrain from prior to perform a PFT?

You should not eat a heavy meal just before this test. You should not smoke for six hours before the test. You should not exercise vigorously for six hours before the test. On the day of the test, avoid food or drinks that have caffeine.

What preparation is necessary before a pulmonary function test?

You may need to stop taking some before testing. Do not eat, smoke, or exercise 4-8 hours before testing. Wear loose-fitting clothing.

Why is it important for a medical assistant to learn about pulmonary function testing?

It provides important information about your lungs, including volume and lung capacity as well as the rates of airflow and gas exchange. A PFT, or lung capacity test, can help your doctor diagnose many lung disorders or evaluate the severity of an existing lung condition.