INCENTIVE SPIROMETRY

What is Spirometry?

Sustained maximal inspiration devices Use of a breathing device to help promote

lung expansion after prolonged bed rest or surgery

Contains a # of movable balls that are pushed up by the force of the breaths & held suspended in the air while the patient inhales

Purposes Increase lung volume Boost alveolar inflation Promotes venous return

Indications 1. For clients with thick tenacious

secretions 2. After abdominal/thoracic

surgery 3. With lung diseases like COPD

and asthma

TWO TYPES

Flow oriented SMI - consists of 1 or more plastic chambers containing freely movable colored balls or discs- the balls or discs are elevated as the client inhales- the client is asked to keep them elevated as long as possible with a maximal sustained inhalation- low cost devices, disposable, used independently by client

Volume-oriented SMI- measure the inhalation volume maintained by the client

Hand-held spirometer

Spirometer in the fifties..

In the lung function lab

Spirobank

Simplicity

SpiroPro

SpiroStar

Datospir 70

Many types are available..

MicroLoop

What do we measurewith a spirometer?

equipments Flow or volume incentive spirometer Sterile disposable tube &

mouthpiece Stethoscope watch

preparations

1. Assemble the ordered equipment at patient’s bedside table

2. Remove the sterile flow tube & mouthpiece from the package & attach them to the device

3. Set the flow rate or volume goal as determined by the doctor

Procedure

1. Assess patient’s condition2. Explain the procedure to the patient3. Wash hands4. Help the patient into a comfortable sitting position5. Auscultate the patient’s lungs6. Hold or place the spirometer in an upright position7. Exhale normally8. Seal the lips tightly around the mouthpiece9. Take in a slow, deep breath & hold the breath for 2

seconds initially, increasing to 6 seconds

procedure

9. Remove the mouthpiece & exhale normally10.Cough after the incentive effort11.Relax & take several normal breaths before using the spirometer again12.Repeat the procedure several times & then 4 or 5 times hourly13.Clean the mouthpiece with water & shake it dry