Pulmonary Function Testing    Cardiopulmonary Exercise Testing    Exercise Induced Asthma Test    Methacholine Challenge Testing

6 Minutes Walk Test

 

Pulmonary Function Testing

DESCRIPTION

A pulmonary function test consists of a series of breathing maneuvers while breathing into a mouthpiece.  You will be seated and will wear a nose clip so you breathe only through your mouth.  A technician will explain the procedures and will coach you during the test.  You may be given a breathing treatment, a medicine made into a mist that you breathe in for several minutes, during your test.  The test will last approximately 1 hour.  You will have opportunities to rest during the test.  After testing you may return to your normal diet and activities. 

A pulmonary function test can help your doctor assess your breathing.  It may help him determine if you have certain categories of lung diseases: obstructive diseases, like asthma or COPD (chronic obstructive pulmonary disease), or restrictive diseases, like pulmonary fibrosis.  Your doctor will review the test results with you at your next visit. 

 

INSTRUCTIONS

If possible, hold all inhaled breathing medications for 6 hours prior to the test.  If you are in distress and need to take your medication, please do so, but inform the technician at the time of the test.

Eat a light meal the day of the testing.

Hold caffeine containing beverages (coffee, tea, cola, etc) for at least 4 hours prior to the test.

Do not smoke the day of the test.  If you are a smoker, inform the technician when you smoked your last cigarette when you arrive for your test.  

Wear comfortable clothes that do not restrict your breathing. 

Space in the lab is limited.  Friends or relatives, who accompany you, may be asked to remain in the waiting area.

IF YOU HAVE ANY QUESTIONS ABOUT THE TEST OR THE INSTRUCTIONS, PLEASE CALL THE OFFICE AT 610-685-5864, AND ASK TO TALK TO SOMEONE IN THE PULMONARY FUNCTION LAB.

 


 

Cardiopulmonary Exercise Testing

DESCRIPTION

A cardiopulmonary exercise test is a specialized form of stress testing done to assess the response of your heart and lungs to exercise.  The test is done on a treadmill.  Your heart (EKG), blood pressure, oxygen level and breathing will be monitored while you walk on the treadmill.  You will breathe through a mouthpiece during your test.  A pulmonary physician is always present in the office when testing takes place in the unlikely event you should experience any difficulties during your testing.  As with any type of exercise, there is a remote possibility of serious medical problems related to changes in blood pressure, irregular heartbeat, fainting, etc.  The length of the test is tailored to each patient.  The treadmill starts at a very slow speed.  Depending on your ability, the speed and grade (steepness) of the treadmill will be gradually increased.  You will be asked to walk as long as you can, but can stop at any time you experience symptoms that make it impossible for you to continue.  You will be monitored for a few minutes after you stop walking on the treadmill.  Your doctor will review the test results with you at your next visit.

 

INSTRUCTIONS        

  • Take all medications as prescribed.
  • Eat light meals on the day of testing.
  • No caffeine on the day of the test.
  • Preferably, no smoking on the day of the test. Definitely, no smoking for at least 4 hours prior to testing.
  • Preferably, no alcohol for 24 hours prior to testing.  Definitely, no alcohol for at least 4 hours prior to testing.
  • Wear clothes that are comfortable to exercise in.  Women, please wear a loose fitting, lightweight, short sleeve shirt so we can easily attach the EKG monitor while maintaining modesty.
  • Wear comfortable walking shoes, preferably sneakers.
  • Space in the lab is limited.  Friends or relatives accompanying you may be asked to remain in the waiting room.

 

IF YOU HAVE ANY QUESTIONS ABOUT THE TEST OR THE INSTRUCTIONS, PLEASE CALL THE OFFICE AT 610-685-5864, AND ASK TO TALK TO SOMEONE IN THE PULMONARY FUNCTION LAB.

 


 

EIA Or Exercise Induced Asthma Cardiopulmonary Stress Test

DESCRIPTION

An exercise induced asthma/cardiopulmonary exercise test is a form of stress testing done to assess the response of your heart and lungs to exercise.  You will be asked to perform a simple breathing maneuver into a mouthpiece to assess your baseline breathing.  You will then walk on a treadmill.  Your heart (EKG), blood pressure, oxygen level and breathing will be monitored while you are walking.  A pulmonary physician is always present in the office when testing takes place in the unlikely case you should experience any difficulties during your testing.  As with any type of exercise, there is a remote possibility of serious medical problems related to changes in blood pressure, irregular heartbeat, fainting, etc. The length of the test is tailored to each patient.  The treadmill starts at a very slow speed.  Depending on your ability, the speed and grade (steepness) of the treadmill will be gradually increased.  You will be asked to walk as long as you can, but can stop at any time you experience symptoms that make it impossible for you to continue.  You will be monitored for approximately 30 minutes after you stop walking on the treadmill.  You will be asked to repeat the breathing maneuver you did when you arrived several times after you stop walking on the treadmill.  Your doctor will review the test with you at your next visit.

 

INSTRUCTIONS           

  • Eat light meals on the day of testing.
  • No caffeine the day of the test and no alcohol for 24 hours prior to testing.
  • Wear clothes that are comfortable to exercise in.  Women, please wear a loose fitting, lightweight, short sleeve shirt so we can easily attach the EKG monitor while maintaining modesty. 
  • Wear comfortable walking shoes, preferably sneakers.
  • Hold all oral breathing medications in the form of pills or capsules (theophyllines, singulair, etc.) for 48 hours.
  • Hold all inhaled breathing medications given in the form of inhalers or nebulizers for 8 hours, with the following exceptions: hold atrovent, duoneb, ipratropium or combivent for 24 hours; hold tilade, performist, brovana, serevent, arcapta and foradil for 48 hours; hold spiriva, tudorza, and any inhaled steroids (advair, symbicort, dulera, asmanex, alvesco, pulmicort, flovent, Q-Var, azmacort, aerobid) for 72 hours.
  • Hold antihistamines for 48 hours prior to test (Claritin, Clarinex, Zyrtec, Allegra, etc.)
  • If you are taking oral steroids (prednisone, etc.) for any reason, please call the office to see if the test can still be performed.
  • Do not take any over the counter cold or allergy medications that contain pseudoephedrine for 48 hours prior to test.
  • Space in the lab is limited.  Friends or relatives that accompany you may be asked to remain in the waiting area. 

 

IF YOU HAVE ANY QUESTIONS ABOUT THE TEST OR THE INSTRUCTIONS, PLEASE CALL THE OFFICE AT 610-685-5864, AND ASK TO TALK TO SOMEONE IN THE PULMONARY FUNCTION LAB.

 


 

Methacholine Challenge Testing

DESCRIPTION

A methacholine challenge test is a breathing test used to determine the presence of reactive airways disease or asthma.  You will perform a basic breathing test.  You will breathe in a mild dose of medication called methacholine.  You will then repeat the breathing test.  If your results are the same, you will breathe an increased dose, up to a total of 6 doses, of methacholine, repeating the breathing maneuver after each dose.  If your breathing changes, indicating reactive airways, after any dose, the test will be stopped and you will immediately be given a breathing treatment with the type of medication used to treat asthma.  It is very rare for patients to experience a prolonged reaction to methacholine, however it is a remote possibility.  A pulmonary physician is always on the premises and available for immediate treatment, should the need arise.   You will repeat the breathing test after the treatment to assure your breathing has returned to normal.  The length of the test is dependent upon the results, but may last up to 90 minutes.  You will have opportunities to rest during the test. 
  

INSTRUCTIONS

  • This test cannot be performed if you are pregnant or nursing.
  • Hold all oral breathing medications in the form of pills or capsules (theophyllines, singulair, etc.) for 48 hours.
  •  Hold all inhaled breathing medications given in the form of inhalers or nebulizers for 8 hours, with the following exceptions: hold atrovent, duoneb, combivent and ipratropium for 24 hours; hold tilade, performist, brovana, serevent, arcapta, and foradil for 48 hours; hold spiriva, tudorza and any inhaled steroids (advair, symbicort, dulera, alvesco, asmanex, pulmicort, flovent, Q-Var, azmacort, aerobid) for 72 hours.
  •  Hold antihistamines and any over the counter cold or allergy medications for 48 hours prior to test including Claritin, Clarinex, Zyrtec, Allegra, etc.
  • If you are taking oral steroids (prednisone, etc.) for any reason, please call the office to see if the test can still be performed.  
  • If you are sick or have been sick within 2 weeks of your scheduled test with an upper or lower respiratory tract infection, please call the office to see if the test can still be performed.
  • Eat a light meal the day of the test.  No caffeine containing food or beverages the day of the test.
  • Wear comfortable clothes that do not restrict your breathing.   After the test you may return to your normal diet and activity.    
  • Friends or relatives who accompany you will be asked to remain in the waiting area during testing. 

 

IF YOU HAVE ANY QUESTIONS ABOUT THE TEST OR THE INSTRUCTIONS, PLEASE CALL THE OFFICE AT 610-685-5864, AND ASK TO TALK TO SOMEONE IN THE PULMONARY FUNCTION LAB.

 


 

6 Minutes Walk Test

DESCRIPTION

The object of the 6 minute walk test is for you to walk as far as possible in 6 minutes. You will walk back and forth in a hallway. Six minutes is a long time to walk, so you will be exerting yourself.   Some people get out of breath.  Some people may even feel exhausted. You are permitted to slow down, to stop, and to rest if necessary. You may lean against the wall while resting, but resume walking as soon as you are able.  You will wear an oxygen monitor on your wrist/finger while you walk.  The 6 minute walk test is a test of your functional ability and the result is the distance you walk in those 6 minutes.  If you have had this test done in the past, it is particularly helpful when your doctor compares your current 6 minute walk distance to the distance done on your previous test. 

Instructions

  • Take all your medications as you normally would.
  • Wear comfortable clothes for walking
  • Wear shoes (preferably sneakers) that are comfortable for walking. 
  • Do not eat a heavy meal just prior to testing. 
  • Avoid alcohol and smoking the day of the test.
  • Please bring along any walking aids you use regularly: walkers, canes, etc.
  • If you wear oxygen at home all the time or with exertion, please bring your portable unit with you.

 

IF YOU HAVE ANY QUESTIONS ABOUT THE TEST OR THE INSTRUCTIONS, PLEASE CALL THE OFFICE AT 610-685-5864, AND ASK TO TALK TO SOMEONE IN THE PULMONARY FUNCTION LAB.