What is Spirometry?
Spirometry is a basic breathing test which measures the amount of air you can breathe in and then blow out forcefully. Your GP / Practice Nurse has requested this test to assess your lung function following your recent visit.
How is the test performed?
The Practice Nurse / Health Care Assistant performing the test will measure your height and weight and then ask you to sit upright in a chair next to the device. You will be asked to take a deep breath in and blow into the Spirometer as hard and fast as you can until your lungs are completely empty. This routine will be repeat several times to ensure the results are consistent.
Reversibility Test
Depending on your results you may be given an inhaler (bronchodilator) which will open up your airways to their best possible. The technician will demonstrate how to use the inhaler via a spacer. You will then have the test repeated 20 minutes later to see if there is any improvement. During the 20 minute interval you will be asked to sit and wait in the waiting area.
Will I feel any pain or discomfort?
The test is not painful but can feel a little uncomfortable. Some patients experience light-headedness. You will be encouraged to do your best and will be given time between each blow but you must inform the technician if it is causing you to feel unwell.
How long will the test take?
The initial part of the test takes approximately 30 minutes, if reversibility is then required you will have the 20 minutes interval whilst the inhaler takes effect and then another 10 minutes of testing. On completion of the spirometry you will have a 40 minute appointment with the Practice nurse who specialises in respiratory. This will either be on the same day or a separate appointment will be given to you.
How should I prepare for spirometry?
If you are already taking regular inhalers or medication for your breathing, please bring them to your appointment but we ask that you do not use them if possible for the time specified below:
Medication
Withholding times
- Relievers – SABA (e.g. Salbutamol, Terbutaline): 4-6 hours
- Relievers – SAMA (e.g. Atrovent): 6 hours
- Preventers – LABA (e.g. Salmeterol/Formoterol/Seretide/Symbicort/Fostair): 24 hours
- Preventers – Ultra-LABA (e.g. Onbrez/Relvar/Anoro/Striverdi): 36 hours
- Preventers – LAMA (e.g. Spriva/Incruse/Eklira/Braltus/Tiotropium): 36-48 hours
- Long acting oral bronchodilators (e.g. Theophylline tablets): 24 hours
If you feel breathless and need to use any of these inhalers within the times above please inform the technician at the start of your appointment.
Other Instructions:
- Please do take all of your other medications as normal.
- Please do bring any inhalers you have to the appointment.
- Please do not smoke in the 24 hours before the test.
- Please do not drink alcohol on the day of the test.
- Please do not have caffeine e.g tea / coffee in the 4 hours before the test.
- Please avoid eating a large meal 2 hours before the test.
- Please avoid vigorous exercise in the last 30 minutes.
- Please wear non-restrictive, comfortable clothing.
For your comfort please empty your bladder just before your appointment.
If on the date of your test you have a chest infection please ring the surgery to cancel and re-book the appointment when you have been well for at least 6 weeks. A chest infection and / or oral steroids will affect your test and give your GP/ Nurse Practitioner invalid results.