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Measurements of Lung Function
Patients with asthma frequently have poor recognition of their
underlying symptoms and poor perception of the severity of their
disease, especially if their asthma is severe, and nonremitting.
Assessments of symptoms alone as wheezing and dyspnea are not
sufficent, and may be inaccurate. Measurements of lung function
provide direct assessment of airflow limitation, and response
to treatment. Measurement of lung function for diagnosing and
monitoring asthma is analogous to measurement of blood pressure
with a sphygmomanometer or measurement of blood glucose with reagent
strips.
One method
to assess the level or severity of airflow limitation is the use
of peak expiratory flow. Ideally, peak expiratory flow measurements
should be taken twice daily immediately upon arising and 10 to
12 hours later, before and after using a bronchodilator. Because
peak flow measurement is effort dependent, it is essential to
use correct techniques and equipments.
Interpreting
Peak Flow measurements
Predicted
values of normal peak expiratory flow corrected for height, and
age
for females.
Height (inches)
|
Age (years)
|
55
|
60
|
65
|
70
|
75
|
|
20
|
390
|
423
|
460
|
496
|
529
|
|
25
|
385
|
418
|
454
|
490
|
523
|
|
30
|
380
|
413
|
448
|
483
|
516
|
|
35
|
375
|
408
|
442
|
476
|
509
|
|
40
|
370
|
402
|
436
|
470
|
502
|
|
45
|
365
|
397
|
430
|
464
|
495
|
|
50
|
360
|
391
|
424
|
457
|
488
|
|
55
|
355
|
386
|
418
|
451
|
482
|
|
60
|
350
|
380
|
412
|
445
|
475
|
|
65
|
345
|
375
|
406
|
439
|
468
|
|
70
|
340
|
369
|
400
|
432
|
461
|
Predicted
values of normal peak expiratory flow corrected for height, and
age for males.
|
Age (years)
|
55
|
60
|
65
|
70
|
75
|
|
20
|
554
|
602
|
649
|
693
|
740
|
|
25
|
543
|
590
|
636
|
679
|
725
|
|
30
|
532
|
577
|
622
|
664
|
710
|
|
35
|
521
|
565
|
609
|
651
|
695
|
|
40
|
509
|
552
|
596
|
636
|
680
|
|
45
|
498
|
540
|
583
|
622
|
665
|
|
50
|
486
|
527
|
569
|
607
|
649
|
|
55
|
475
|
515
|
556
|
593
|
634
|
|
60
|
463
|
502
|
542
|
578
|
618
|
|
65
|
452
|
490
|
529
|
564
|
603
|
|
70
|
440
|
477
|
515
|
550
|
587
|
|