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Clinical pharmacy 2024/2025                  Level 2 Pharm D                       Physiology and Pathophysiology (MD303)

                                5)  Total lung capacity (TLC):             6)  The vital capacity (VC):

             Definition               (TV+ERV+IRV+RV)                The  maximum  amount  of  air  expired

                                                                     from the fully inflated lung, or maximum
                                                                     inspiratory level.

                                                                                = (TV + IRV + ERV).

                                7)  Inspiratory capacity (IC):        8)  Functional residual capacity (FRC)

             Definition    The maximum amount of air that can be  The volume of the air remaining in the

                           inspired from the resting end-expiratory  lungs  after  expiration  of  a  normal,

                           level.                                    resting breath
                                         = (IRV + TV)                              = (RV + ERV)




                              2-  Dynamic measurements of pulmonary function:


            •  Used to measure obstructive defects.

            •  Collect data from the flow rate of expired and inspired air and reflect the state of the airways.

                        Forced vital capacity (FVC)                 Maximal voluntary ventilation (MVV)


                                                                Definition:
             Definition:
                                                                The largest volume of gas that can be moved
             The  largest  amount  of  air  that  can  be  expired
                                                                into and out of the lungs in 1 min by voluntary
             after a maximal inspiratory effort.
                                                                effort.
                                    NB


             •  The major fraction of VC is already exhaled in
                                                                •  Typically,  this  is  measured  over  a  15  s
                 the first second of forced exhalation  FEVi
                                                                   period and prorated to a minute.
                 (forced expiratory volume in 1 sec).
                                                                •  Normal values range from 140 to 180L /min
             •  Since FEV depends on the personal physical
                                                                   for healthy adult males.
                 abilities    FEV1/FVC  is  used  in  practice  to

                 compare FEV values of different persons and
                 to recognize the classes of airway disease.










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