What are pulmonary function tests?
Pulmonary function tests (PFTs) measure how well your lungs
take in and exhale air and how efficiently they transfer
oxygen into the blood. There are several different tests.
- Spirometry
measures how well the lungs exhale (breathe
out).
- Lung volume
measures how well the lungs inhale (breathe
in).
- Testing the diffusion capacity of carbon monoxide (DLCO)
shows how efficiently the lungs transfer oxygen from the
air into the bloodstream.
Why are these tests done?
Pulmonary function tests help:
- diagnose diseases of the lung such as asthma, bronchitis,
and emphysema
- determine the cause of shortness of breath
- measure the effects of exposure to chemicals, coal dust,
and other toxins on your lung function
- measure the effectiveness of medicines and other
treatments.
PFTs can help detect lung disease at an early stage before
you have symptoms.
How do I prepare for these tests?
Eat a light meal and do not smoke for 4 to 6 hours before
your test. If you have asthma, ask your health care
provider if you need to stop using asthma medicine before
the test.
How is the test done?
- Spirometry.
You breathe into a mouthpiece that is
connected to an instrument called a spirometer. The
spirometer measures the volume of air that you can force
out of your lungs in 1 second after having inhaled as
much as you can. You will be asked to hold the tube of a
spirometer in your mouth, inhale as much air as possible,
then blow out as hard as you can into the spirometer for
1 second. The amount of air you can force out is called
your forced expiratory volume, or FEV1.
- Lung volume.
You breathe nitrogen or helium gas through
a tube for a certain amount of time. Then the
concentration of the gas in a chamber attached to the
tube is measured.
- Diffusion capacity.
You breathe carbon monoxide for a
very short time (often 1 breath). The concentration of
carbon monoxide in the air you exhale is then measured.
The difference in the amounts of carbon monoxide inhaled
and exhaled shows how quickly gas can travel from your
lungs into the blood.
PFTs are painless and you will have time to rest between the
different breathing measurements. The measurements may be
repeated 2 or more times.
How will I get the test results?
Ask your heath care provider when and how you will get the
results of your tests.
What do the test results mean?
If you do not have lung disease, you will be able to blow
out 80% or more of the air in your lungs in 1 second. If
you have lung disease you may be able to blow out only 20%
to 40% in 1 second. With lung disease it may take you
longer to get all of the air out of your lungs.
PFTs may show what type of lung disease you have.
- If you have obstructive lung disease (emphysema, chronic
bronchitis, or asthma), the amount of air you can exhale
is decreased, but usually lung volume is normal.
- If you have restrictive lung disease (such as asbestosis,
pulmonary fibrosis, or sarcoidosis), the lung volume is
decreased while the ability to exhale is normal.
A low diffusion capacity may indicate emphysema. It may
also be caused by restrictive lung diseases that thicken the
lung membrane.
What if my test results are not normal?
Test results are only one part of a larger picture that
takes into account your medical history and current health.
Sometimes a test needs to be repeated to check the first
result. Talk to your health care provider about your
results and ask questions.
If your test results are not normal, ask your health care
provider:
- if you need additional tests
- what you can do to work toward normal values
- when you need to be tested again.


Disclaimer: This content is reviewed periodically and is subject to
change as new health information becomes available. The
information provided is intended to be informative and educational and is not a
replacement for professional medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
HIA File RSP4813F.HTM Release 9.0/2006. Copyright © 2006 McKesson Corporation and/or one of its subdiaries. All Rights Reserved.
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