Overview
This lecture reviews lung volumes and capacities, their definitions, normal values, and how they are measured, focusing on key concepts for spirometry.
Total Lung Capacity (TLC)
- TLC is the total amount of gas in the lungs after a maximal inspiration.
- Normal TLC is 6 liters for adult males and 4.2 liters for adult females.
Vital Capacity (VC) and Residual Volume (RV)
- VC is the amount of gas exhaled after a maximal inspiration.
- RV is the amount of gas remaining in the lungs after a maximal expiration, making up about 20% of TLC.
- VC plus RV equals TLC.
Tidal Volume (TV)
- TV is the amount of gas inspired or expired during normal quiet breathing.
- TV is about 7–8% of TLC.
Inspiratory and Expiratory Reserve Volume
- Inspiratory Reserve Volume (IRV) is the amount inhaled above a tidal inspiration, normally 60% of TLC.
- Expiratory Reserve Volume (ERV) is the amount exhaled beyond a tidal expiration, normally 20% of TLC.
- TV + IRV + ERV equals VC.
Functional Residual Capacity (FRC) and Inspiratory Capacity (IC)
- FRC is the amount of gas remaining after a tidal expiration, normally 40% of TLC.
- FRC includes ERV and RV.
- FRC cannot be measured directly by spirometry due to RV; measured indirectly via helium dilution or nitrogen washout.
- Inspiratory Capacity (IC) is the amount inhaled starting at a tidal expiration (TV + IRV), usually 60% of TLC.
Types of Lung Capacities
- Major capacities: Inspiratory Capacity (IC), Functional Residual Capacity (FRC), Vital Capacity (VC), and Total Lung Capacity (TLC).
Key Terms & Definitions
- Total Lung Capacity (TLC) — total volume after maximal inspiration.
- Vital Capacity (VC) — gas exhaled after maximal inspiration.
- Residual Volume (RV) — gas left after maximal expiration.
- Tidal Volume (TV) — gas shifted in/out during normal breathing.
- Inspiratory Reserve Volume (IRV) — extra air inhaled after normal inspiration.
- Expiratory Reserve Volume (ERV) — extra air exhaled after normal expiration.
- Functional Residual Capacity (FRC) — gas left after normal exhalation.
- Inspiratory Capacity (IC) — maximum air inhaled after normal exhalation.
Action Items / Next Steps
- Review lung volume and capacity definitions for understanding.
- Practice identifying which lung volumes/capacities can be measured by spirometry.
- Remember the formulas and percentage values associated with each lung volume and capacity.