LUNG VOLUMES AND CAPACITIES STANDARDS • • • 3.1.10A, 3.1.12A – Identify the function of subsystems within a larger system; analyze and Westminster College describe the function, interaction and relationship among subsystems and the system itself. 3.1.10B - Apply mathematical models to science and technology. 3.3.10A, 3.3.12A - Explain the relationship between structure and function at the molecular and cellular levels; explain and analyze the relationship between structure and function at the molecular, cellular and organ-system level. INTRODUCTION Measurement of lung volumes provides a tool for understanding normal function of the lungs as well as disease states. The breathing cycle is initiated by expansion of the chest. Contraction of the diaphragm causes it to flatten downward. If chest muscles are used, the ribs expand outward. The resulting increase in chest volume creates a negative pressure that draws air in through the nose and mouth. Normal exhalation is passive, resulting from “recoil” of the chest wall, diaphragm, and lung tissue. In normal breathing at rest, approximately one-tenth of the total lung capacity is used. Greater amounts are used as needed (i.e., with exercise). The following terms are used to describe lung volumes (see Figure 1): Tidal Volume (TV): The volume of air breathed in and out without conscious effort Inspiratory Reserve Volume (IRV): The additional volume of air that can be inhaled with maximum effort after a normal inspiration Expiratory Reserve Volume (ERV): The additional volume of air that can be forcibly exhaled after normal exhalation Vital Capacity (VC): The total volume of air that can be exhaled after a maximum inhalation: VC = TV + IRV + ERV Residual Volume (RV): The volume of air remaining in the lungs after maximum exhalation (the lungs can never be completely emptied) Total Lung Capacity (TLC): = VC + RV Minute Ventilation: The volume of air breathed in 1 minute: (TV)(breaths/minute) In this experiment, you will measure lung volumes during normal breathing and with maximum effort. You will correlate lung volumes with a variety of clinical scenarios. Westminster College SIM Page 1 Lung Volumes and Capacities GUIDING QUESTIONS • What do the peaks on the experimental graph represent in terms of lung volume and capacity? • Is there a difference in lung capacity between men and women? • What type of clinical respiratory conditions could affect lung capacity? SAFETY • • Do not attempt this experiment if you are currently suffering from a respiratory ailment such as the cold or flu. Figure 1 Do not attempt this experiment if you have a known chronic respiratory ailment. MATERIALS LabQuest LabQuest App Vernier Spirometer disposable mouthpiece disposable bacterial filter nose clip and tissues PROCEDURE 1. Connect the Spirometer to the LabQuest and turn it on by pressing the oval Power button at the top left of the equipment. Choose New from the File menu. 2. On the Meter screen , tap the Rate box at the right of the screen. A Data Collection screen will appear. Change the data-collection rate to 100 samples/second and the datacollection length to 60 seconds. Select OK. 3. Attach the larger diameter side of a bacterial filter to the “Inlet” side of the Spirometer. Attach a gray disposable mouthpiece to the other end of the bacterial filter (see Figure 2). 4. Have the subject sit down in a comfortable position. Hold the Spirometer in one or both hands. Figure 2 Brace your arm(s) against a solid surface, such as a table, and choose Zero from the Sensors menu. Note: The Spirometer must be held straight up and down, as in Figure 2, and not moved during data collection. Westminster College SIM Page 2 Lung Volumes and Capacities 5. Tap the Graph tab . A graph of Time (s) vs. Flow Rate (L/s) will appear. 6. Collect inhalation and exhalation data. a. Place a tissue or Kimwipe over your nose, then put on the nose plug. b. Start data collection by tapping the Start icon (lower left of the screen). c. Taking normal breaths, begin data collection with an inhalation and continue to breathe in and out. After 4 cycles of normal inspirations and expirations Figure 3. Flow Rate Graph fill your lungs as deeply as possible (maximum inspiration) and exhale as fully as possible (maximum expiration). It is essential that maximum effort be expended when performing tests of lung volumes. d. Follow this with at least one additional recovery breath. Continue to take normal breaths until the full 60 s is complete. The LabQuest will automatically stop taking data. Your graph should look something like Fig. 3. 7. Store the lung volume and capacity data by tapping the Cabinet icon . Tap the Run 2 box to the top right of the screen, and select Run 1 to see the graph of the data. 8. To view a graph of volume vs. time, tap the y-axis label (Flow Rate (L/s)) and select Volume from the drop down menu. The graph may take a few seconds to appear. 9. If the baseline on your graph has drifted (see sloping graph in Fig. 4A), choose Baseline Adjustment from the Analyze menu. The screen shown in Fig. 4a will appear. To bring the baseline volumes closer to level, use the ▼and ▲ Adjustment buttons to move the baseline. The LabQuest may be slow to readjust the baseline. Wait 5-10 sec to see the baseline change. Select OK when finished. Figure 4. Lung Volume Graph A. Baseline Adjustment Screen B. Adjusted Lung Volume Graph 10. The LabQuest will automatically rescale the graph, and you should have a screen that looks like Figure 4B. If the baseline is still a little off, you may repeat Step 9 to readjust it. Westminster College SIM Page 3 Lung Volumes and Capacities 11. Determine the Δy for the Tidal Volume portion of your graph. a. Select a representative peak and valley in the Tidal Volume (TV) portion of your graph. b. Tap the peak (upper Figure 5. Calculation of Tidal Volume blue arrow) and note the maximum volume value to the right of the screen. c. Tap the bottom of the valley (lower blue arrow) that follows it and note the minimum volume value. d. Calculate the Δy value and record it, to the nearest 0.1 L, as the total Tidal Volume in Table 1. TV = (max. peak volume) – (min. valley volume) TV = ________________ - _________________ 12. Determine the Δy for the Inspiratory Figure 6. Calculation of Inspiratory Reserve Volume Reserve Volume (Fig. 6). a. Tap the peak that represents your maximum inspiration (blue arrow) and note the volume value. b. Using the average level of the peaks (blue dashed line) graphed during normal breathing IRV = (max. peak of inhalation) – (avg. peak of tidal volume) from Step 6c, calculate the Δy value: IRV = ________________ - _________________ c. Record the Δy, to the nearest 0.1 L, as the total Inspiratory Reserve Volume in Table 1. Westminster College SIM Page 4 Lung Volumes and Capacities 13. Determine the Δy for the Expiratory Reserve Volume (ERV). a. Tap the valley (blue arrow) that represents your maximum expiration and note the volume value. b. Using the average level of the valleys (blue dashed line) graphed during normal breathing from Step 9, calculate the Δy value: Figure 7. Calculation of Expiratory Reserve Volume ERV = (max. valley of inhalation) – (avg. valley of tidal volume) IRV = ________________ - _________________ c. Record the ERV, to the nearest 0.1 L, as the total Expiratory Reserve Volume in Table 1. 14. Calculate the Vital Capacity and enter the total to the nearest 0.1 L in Table 1. Calculation of Vital Capacity VC = TV + IRV + ERV VC = ______ + ______ + ______ = ________ 15. Calculate the Total Lung Capacity (TLC) and enter the total to the nearest 0.1 L in Table 1. (Use the value of 1.5 L for the RV.) Westminster College SIM Page 5 Lung Volumes and Capacities Calculation of Total Lung Capacity TLC = VC + RV TLC = ______ + __1.5__ = ________ 16. Share your data with your classmates and complete the Class Average columns in Table 1. 17. Exit out of the LabQuest Application by choosing Quit from the File menu. Turn the LabQuest off by holding down the oval Power button until the screen goes dark. Place the LabQuest and power supply back in the small pencil case. Throw away all of the cardboard tubes and bacterial filters that were used during the experiment. REFERENCES Diana Gordon and Steven L. Gordon, M.D. 2005. Human Physiology with Vernier. Experiment 8: Blood Pressure and Exercise. Vernier Software & Technology. Beaverton, OR. Pp 19-1 – 19-5, 19-1T – 19-2T. CREDITS The lab was adapted and revised by Dr. Stephanie Corrette-Bennett. Westminster College SIM Page 6 Lung Volumes and Capacities DATA SHEET Name: _______________________ Group: _______________________ Date: _______________________ Volume measurement (L) Tidal Volume (TV) Inspiratory Reserve (IRV) Expiratory Reserve (ERV) Vital Capacity (VC) Residual Volume (RV) Total Lung Capacity (TLC) Individual (L) Table 1 Class Average (Male in L) Class Average (Female in L) ≈1.5 ≈1.5 ≈1.5 DATA ANALYSIS 1. What was your Tidal Volume (TV)? What would you expect your TV to be if you inhaled a foreign object which completely obstructed your right mainstem bronchus? 2. Describe the difference between lung volumes for males and females. What might account for this? 3. Calculate your Minute Volume at rest. (TV × breaths/minute) = Minute Volume at rest Westminster College SIM Page 7 Lung Volumes and Capacities If you are taking shallow breaths (TV = 0.20 L) to avoid severe pain from rib fractures, what respiratory rate will be required to achieve the same minute volume? 4. Exposure to occupational hazards such as coal dust, silica dust, and asbestos may lead to fibrosis, or scarring of lung tissue. With this condition, the lungs become stiff and have more “recoil.” What would happen to TLC and VC under these conditions? 5. In severe emphysema there is destruction of lung tissue and reduced recoil. What would you expect to happen to TLC and VC? 6. What would you expect to happen to your Expiratory Reserve Volume when you are treading water in a lake? Westminster College SIM Page 8
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