Spirometry Lab — Exercise-Induced Asthma Case Study
Patient A — Exercise-Induced Asthma (EIA) · Tested 15 min post-exercise · Work through each part in order
Maneuver A
Tidal breath → maximal inhale → exhale as long as possible
Maneuver B
Tidal breath → normal inhale → exhale as long as possible
▸ Hover or click on a trace to read its volume · Click to lock a reading
—
Given value — Residual Volume (RV) = 1.8 L. Residual volume cannot be measured by spirometry; it is provided for your calculations. Note this value is elevated compared to normal — a key hallmark of air trapping in asthma.
Part 1Read & Calculate: TV, ERV, and VC
Patient A was tested 15 minutes after maximal exercise. Use the graph to identify the three key volume levels from his spirometry tracing. Hover over the traces and click to lock a reading. Enter the values below — the calculations update automatically.
Highest volume reached during quiet (tidal) breathing
L
Lowest volume during quiet (tidal) breathing — the resting baseline
L
Maximum volume reached during Maneuver A (maximal inhalation)
L
Calculations
TV=?−?=—L
ERV=?−1.2 (RV, given)=—L
VC=?−1.2 (RV, given)=—L
Part 2Set Up Equations: IRV, IC, FRC, and TLC
Now set up the capacity equations using Patient A's measured volumes. Choose variables and operators — the same equations apply for any patient; only the values change.
Inspiratory Reserve Volume
IRV
=
Term 1
Term 2
Term 3
Inspiratory Capacity
IC
=
Term 1
Term 2
Functional Residual Capacity
FRC
=
Term 1
Term 2
Total Lung Capacity
TLC
=
Term 1
Term 2
Part 3Calculate the Capacities
Your equations are filled in with Patient A's values. Review the calculated capacities and compare them with the normal values from the baseline lab — which are elevated? Which are reduced?
IRV——L
IC — —L
FRC——L
TLC——L
Clinical Interpretation — Compare to Normal Baseline:
Normal RV ≈ 1.2 L → Patient A: 1.8 L ↑ (air trapping)
Normal FRC ≈ 2.5 L → Patient A: 2.8 L ↑ (elevated resting lung volume)
Normal ERV ≈ 1.3 L → Patient A: 1.0 L ↓ (ERV compressed by elevated RV)
Normal IRV ≈ 3.0 L → Patient A: 2.6 L ↓ (less room to inhale with hyperinflated lungs)
Normal VC ≈ 4.8 L → Patient A: 4.0 L ↓ (reduced vital capacity — obstructive pattern)
Part 4Label the Spirometry Graph
Label the four volume regions on Patient A's spirometry graph. Type the correct abbreviation into each box, then click Check Labels.