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PFT Pre-Test Instructions With Complete
Solutions 2024
Test Performance and Sequence - correct answers - Generation of a physician order (electronically or paper) -Pre-test instructions -Scheduling the test -Location/contact info of the physician to send the final report -Special patient considerations (Patient is blind, deaf; mental status of patient) Equipment Preparation - correct answers -Quality control is complete -Calibration done -Supplies are ready (filter, mouthpiece, noseclip) Pre-test instructions - correct answers -Withholding medications -Smoking cessation -Meals -Exercise -Anthropometric Measurements -Physical assessment
-Pulmonary history -Withholding medications (Bronchodilators should be withheld before testing, Exact length of time to withhold a bronchodilator depends on the onset of action, Patients should be instructed to take their bronchodilator when breathing problems require it,Patients may be unable to identify all their medications) Do NOT take any of the following 6 hours before the test:
- correct answers -Albuterol (ProAir, Proventil, Ventolin) -Albuterol and Ipratropium (Combivent Respimat, DuoNeb) -Ipratropium (Atrovent) -Levalbuterol (Xopenex) Do NOT take any of the following 12 hours before the test: - correct answers -Arformoterol (Brovana) -Formoterol (Foradil, Perforomist, Symbicort, Dulera) -Salmeterol (Advair, Severent) Do NOT take the following 24 hours before the test: - correct answers -Tiotropium (Spiriva) Pre-Test Instructions Eating Meals/Drinking: - correct answers Instruct patients to eat LIGHT foods (e.g., yogurt,
-Weight Anthropometric Measurements age - correct answers Birthdate is stored in PFT system to calculate age Anthropometric Measurements Height - correct answers - Measured to the nearest ¼ inch or 0.5 cm Pt. must be measured in barefeet or stocking feet -Arm span is used for patients who cannot stand upright (e.g., Kyphosis, Scoliosis) -Height may be estimated as arm span/1. Anthropometric Measurements weight - correct answers - Measured in pounds or kilograms -Use an accurate (calibrated) scale -Used in the calculation of Body Mass Index (BMI) -Weight is used to express oxygen consumption (i.e., milliliter/kilogram) for exercise and metabolic measurements Anthropometric Measurements race - correct answers - Race or ethnic origin should be recorded -Use the patient's declared ethnic origin
Physical Assessment - correct answers -Is the patient able to perform the pulmonary function test? -Breathing pattern (breath sounds, respiratory symptoms audible wheezing, stridor, increased respiratory rate, shortness of breath, coughing, chest tightness) -Oxygen status via pulse oximetry (is the patient on O therapy, if so, how much?) Pulmonary History - correct answers -Provide a patient history for the physician interpreting the pulmonary function study: -Reason for the test (diagnosis)? -Does the patient have airway obstruction? -Family or personal history of lung disorders? -Occupational/environmental exposure? -Smoking habits? (cigarettes, cigars, pipe?) -Cough? -Dyspnea... At rest? On exertion? At night? -Current medications (heart, lungs, blood pressure)? Smoking Habits: Calculate pack years for smoking cigarettes - correct answers packs per day x number of years
Patient Instructions - correct answers -Patients must be instructed and coached for each maneuver -Describe what the patient is expected to do (FVC) -Demonstrate the maneuver to the patient -Vocal encouragement during the actual test -Reinstruct patient after the first effort before attempts to test again -Document in the technologist's comments any reason why patient was unable to complete the test NBRC - PFT Credentials - correct answers -One‐ examination, two‐cut scores examination. The lower cut score earns the CPFT credential, the higher cut score earns the RPFT credential. -The PFT Examination will contain 115 multiple‐choice items (100 scored, 15 pretest) distributed among the three major content areas: 1) instrumentation/equipment,
- procedures, and 3) data management. -Candidates will be given two hours to complete the PFT Examination.
