Here is Sanjay’s very informative presentation on the use of spirometry in the assessment of patients with SOB, and other pearls for the management of respiratory patients. Essentially:
- use spirometry in all cases of SOB of unknown cause if suspecting obstructive or restrictive pathology to help determine cause and guide management.
- use pre and post treatment PEFR monitoring in all asthma patients to assist in determining ongoing management and disposition.
Resources:
- EasyOne Spirometer Brochure
- Spirometry document on testing and interpretation from the Australia Family Physician
- Location of the EasyOne Spirometer – at nurses station b/n cubicles 22 and 23:
- Location of the Peak Flow Meters and Spirettes for the EasyOne Spirometer – in the clean utility next to drug storage area:
- Asthma Management (US Style):
- Sanjay’s Rough Guide to Asthma Disposition:
- PEFR <100 L/Min – Admit
- PEFR 100-150 – Probably admit
- PEFR 150-200 – Unlikely admit
- PEFR 200-250 – Probably discharge
- PEFR >250 – Discharge
- PEFR >300 – Reconsider asthma diagnosis!
- EMRAP – C3 Asthma Summary Aug 2016 – S Swadron, M Herbert
- TheNNT: Quick Summaries of Evidence Based Medicine
- Ventilator settings in asthma – James Rippey
