Peak Expiratory
Flow rate
By : Rekha Marbate
Content
Introduction
Purpose of measurement
Steps of measurement
Significance and normal values
Introduction
• The PEFR test is also called peak
flow.
• This test is commonly performed at
home with a handheld device called a
peak flow monitor.
• Measured in L/min
Purpose of
measurement
• Assessment
• Diagnosis
• Management
• Prognosis of disease
Assessment
• PEFR test to be useful, you must keep continuous records of your
flow rate.
• One may not notice patterns that occur when your flow rate is low or
decreasing.
• These patterns can help you prevent your symptoms from worsening
before a full-blown asthma attack.
• The PEFR test can help you discover when you need to adjust your
medication.
• Or it can help determine whether environmental factors or pollutants
are affecting your breathing.
diagnosis
• The PEFR test is a common test that helps to diagnose and
check lung problems, such as:
1. asthma
2. chronic obstructive pulmonary disease (COPD)
3. a transplanted lung that is not working properly
Management
• Medical management :- use of meter dose bronchodilator also
called as asthma pump
• Physiotherapy management -
1. To relieve breathlessness
2. Anxiety
3. Improve breathing rate and depth
4. Remove secretions
Prognosis
• It helps to determine if lung disorder treatments are working to
prevent symptoms from worsening.
• Rate of improvement
• Expected management for further improvement
Steps of
measurement
• Device: Mini Wright's
peak Flow Meter
Patient preparation:
• Loose and comfortable clothing- l tight clothing that might
prevent you from breathing deeply.
• Make sure to stand or sit up straight while you’re taking the
test.
Device preparation
1. Keep marker at 0.
2. Device should be clean and sterilized
3. Check before administration
Procedure:
• Breathe in as deeply as you can.
• Blow into the mouthpiece as quickly and as hard as you can. Do
not put your tongue in front of the mouthpiece.
• Do the test three times.
• Note the highest speed of the three.
Significance and
normal values
• For normal healthy adult of height 5
feet 5 inch,
• Male- > 500 L/min
• Female > 400 L/Min
• Estimate the normative
value as per age,
sex and height
• Categories the values
zone wise
peak expiratory flow rate presentation
peak expiratory flow rate presentation

peak expiratory flow rate presentation

  • 1.
  • 2.
    Content Introduction Purpose of measurement Stepsof measurement Significance and normal values
  • 3.
    Introduction • The PEFRtest is also called peak flow. • This test is commonly performed at home with a handheld device called a peak flow monitor. • Measured in L/min
  • 4.
    Purpose of measurement • Assessment •Diagnosis • Management • Prognosis of disease
  • 5.
    Assessment • PEFR testto be useful, you must keep continuous records of your flow rate. • One may not notice patterns that occur when your flow rate is low or decreasing. • These patterns can help you prevent your symptoms from worsening before a full-blown asthma attack. • The PEFR test can help you discover when you need to adjust your medication. • Or it can help determine whether environmental factors or pollutants are affecting your breathing.
  • 6.
    diagnosis • The PEFRtest is a common test that helps to diagnose and check lung problems, such as: 1. asthma 2. chronic obstructive pulmonary disease (COPD) 3. a transplanted lung that is not working properly
  • 7.
    Management • Medical management:- use of meter dose bronchodilator also called as asthma pump • Physiotherapy management - 1. To relieve breathlessness 2. Anxiety 3. Improve breathing rate and depth 4. Remove secretions
  • 8.
    Prognosis • It helpsto determine if lung disorder treatments are working to prevent symptoms from worsening. • Rate of improvement • Expected management for further improvement
  • 9.
    Steps of measurement • Device:Mini Wright's peak Flow Meter
  • 10.
    Patient preparation: • Looseand comfortable clothing- l tight clothing that might prevent you from breathing deeply. • Make sure to stand or sit up straight while you’re taking the test.
  • 11.
    Device preparation 1. Keepmarker at 0. 2. Device should be clean and sterilized 3. Check before administration
  • 12.
    Procedure: • Breathe inas deeply as you can. • Blow into the mouthpiece as quickly and as hard as you can. Do not put your tongue in front of the mouthpiece. • Do the test three times. • Note the highest speed of the three.
  • 15.
    Significance and normal values •For normal healthy adult of height 5 feet 5 inch, • Male- > 500 L/min • Female > 400 L/Min
  • 16.
    • Estimate thenormative value as per age, sex and height • Categories the values zone wise