21Predicted values in spirometry are based on a patient’s age, sex, race, height and, in some cases, weight.To test a patient, begin by typing in patient data.
22To enter patient data, select: 1. Patients1. New
23Discovery-2 automatically assigns an ID number to each patient Discovery-2 automatically assigns an ID number to each patient. You can use the existing number or erase it using the back arrow, then type in another number.
24Use the down arrow to move from one field to the next. In fields where a choice is to be made, such as , use the right-left arrows to select.Note that height must be entered in two fields (for example, a 5’3” individual’s height is entered as 5 ft - 3 in).
25When you are finished entering patient data, press to confirm. SmithWilliamABC Oil CompanyNO195Referred by Dr. JonesWhen you are finished entering patient data, press to confirm.
27Once a new patient has been entered into the spirometer, a second menu will appear on screen. The patient’s name will be on the bottom of the screen. This menu provides several testing options.
28FVC is the most commonly performed spirometry maneuver. To perform an FVC test, the patient inhales maximally, then blasts the air out into the sensor as quickly, completely and forcefully as possible.For inspiratory information (a “full loop”), the patient completes the maneuver by inhaling through the sensor completely and with full force.
29Start by instructing the patient as follows: Seal your lips around the mouthpiece or filter.Take 2-3 normal breaths.Inhale completely and fill your lungs.Blow out as hard as you can, and keep going until you can’t exhale any more!(for a full loop, continue) Inhale as fully and with as much force as possible.
30When the patient is ready to start the test: Select 1.Test. Press 1 again for 1.FVC Pre
31The Flow/Volume and Time/Volume graphs will set up on screen.
32As the patient performs the maneuver, these graphs will be created on screen in real time.
33At the end of the test, quality-control messages will let the operator know how the test compares with industry standards.
34(Other messages include “blast out harder”, “blow out longer”, “avoid coughing”.) These messages can be disabled.
35To accept the test, press If you are not satisfied and would like to repeat the maneuver, press to discard the test.
36The flow/volume graph and core spirometry results will be displayed on screen.
37The ATS recommends at least 3 efforts. To repeat the test, press 1 The ATS recommends at least 3 efforts. To repeat the test, press 1.Start. To save it and exit, press 2.Save & Exit To exit without saving the test, press 0.Exit w/o Saving.
38After the second effort, both tests will be displayed, and the “best test” will be identified. You can repeat the maneuver as often as desired by pressing 1.Start
39Up to 3 efforts can be studied on the screen at one time. Press 2 Up to 3 efforts can be studied on the screen at one time. Press 2.Save & Exit to save the desired effort and continue.
40You will be prompted to choose a maneuver to store You will be prompted to choose a maneuver to store. Press the number corresponding to the desired effort.
42The test selected at the end of the testing session will be automatically stored and can be retrieved and printed at any time.You will now be ready to continue with other maneuvers, test another patient, or print a report.
44Choose 1.Selected Test to print the effort highlighted.
45Choose 2.Report to print the best of all maneuvers performed (including pre & post FVC, SVC & MVV) on the highlighted date.
46Discovery-2 can be connected directly to a USB printer. When such a connection is made, the “Print” option will be directed to the external printer, yielding full page, plain paper reports.Please refer to the Discovery-2 manual for information and compliance issues about this feature.
48Pre vs. Post Medication FVC Discovery-2 can be used to study the patient’s response to bronchodilator therapy and the possibility of the reversibility of airway disease .
49To perform a post medication test, select 1.Test 2.FVC Post BD
50Note that the third option, 3 Note that the third option, 3.FVC Post BC, refers to the bronchodilator challenge routine, and should not be selected here.
51The Post FVC maneuver is identical to the regular FVC maneuver, and can be repeated and saved in the same manner.
52A saved effort will be stamped with the test date and saved in the patient’s record.
53To study it, highlighted the test and, if desired, choose 2.Print.
54Bubbles Pediatric Incentive Children and adults find the Discovery-2 handset easy to hold and handle.
55The Bubbles pediatric incentive can displayed at your discretion to encourage patients, for optimal results.
56The “bubble” is determined by the patient’s predicted FVC The “bubble” is determined by the patient’s predicted FVC. As the patient exhales, the blue circle expands in real time. The patient’s goal is to fill the circle.
57Cost Effective Spirometry Discovery-2 is used with your choice of mouthpieces or filters. This lets you control the cost and quality of disposables.
58Thank you for taking the time to learn more about Discovery-2. If you have any questions please call us at