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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

 

 
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