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Start of PF. Peak Flow
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PF001 The next test that I am going to ask you to perform measures how fast you can expel air from your lungs. It isimportant that you blow as hard and as fast as you can. I would like you to perform the test two times. When weare ready to begin, I'll ask you to stand up. Take as deep a breath as possible. Open your mouth and close yourlips firmly around the outside of the mouthpiece, and then blow as hard and as fast as you can into themouthpiece. Like this...
THE NEXT TEST THAT I AM GOING TO ASK YOU TO PERFORM MEASURES HOW FAST YOU CAN EXPEL AIR FROM YOUR LUNGS. IT ISIMPORTANT THAT YOU BLOW AS HARD AND AS FAST AS YOU CAN. I WOULD LIKE YOU TO PERFORM THE TEST TWO TIMES. WHEN WEARE READY TO BEGIN, I'LL ASK YOU TO STAND UP. TAKE AS DEEP A BREATH AS POSSIBLE. OPEN YOUR MOUTH AND CLOSE YOURLIPS FIRMLY AROUND THE OUTSIDE OF THE MOUTHPIECE, AND THEN BLOW AS HARD AND AS FAST AS YOU CAN INTO THEMOUTHPIECE. LIKE THIS...
1 Continue
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PF002 Do you feel it would be safe for you to do this test?
DO YOU FEEL IT WOULD BE SAFE FOR YOU TO DO THIS TEST?
1 Yes
5 No
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If Do you feel it would be safe for you to do this test? = 1 Yes
5 No
»
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PF003 IWER: Enter value first measurement(Record 30 if less than 60;record 890 if past last tick mark;record 993 if R tried but was unable;or record 999 if R chose not to do it.)
IWER: ENTER VALUE FIRST MEASUREMENT(RECORD 30 IF LESS THAN 60;RECORD 890 IF PAST LAST TICK MARK;RECORD 993 IF R TRIED BUT WAS UNABLE;OR RECORD 999 IF R CHOSE NOT TO DO IT.)
30..999
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PF004 IWER: Enter value second measurement(Record 30 if less than 60;record 890 if past last tick mark;record 993 if R tried but was unable;or record 999 if R chose not to do it.)
IWER: ENTER VALUE SECOND MEASUREMENT(RECORD 30 IF LESS THAN 60;RECORD 890 IF PAST LAST TICK MARK;RECORD 993 IF R TRIED BUT WAS UNABLE;OR RECORD 999 IF R CHOSE NOT TO DO IT.)
30..999
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If ( IWER: Enter value first measurement(Record 30 if less than 60;record 890 if past last tick mark;record 993 if R tried but was unable;or record 999 if R chose not to do it.) < 999) and ( IWER: Enter value second measurement(Record 30 if less than 60;record 890 if past last tick mark;record 993 if R tried but was unable;or record 999 if R chose not to do it.) < 999) »
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PF005 IWER: How much effort did R give to this measurement?
IWER: HOW MUCH EFFORT DID R GIVE TO THIS MEASUREMENT?
1 R gave full effort
2 R was prevented from giving full effort by illness, pain, or other symptoms or discomforts
3 R did not appear to give full effort, but no obvious reason for this
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PF006 IWER: What was the R's position for this test?
IWER: WHAT WAS THE R'S POSITION FOR THIS TEST?
1 Standing
2 Sitting
3 Lying down
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If ( Do you feel it would be safe for you to do this test? = 5) or ((PF003 > 890) or (PF004 > 890)) »
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PF007 IWER: Why didn't R complete the breathing test? (Code all that apply)
IWER: WHY DIDN'T R COMPLETE THE BREATHING TEST? (CODE ALL THAT APPLY)
1 R felt it would not be safe
2 IWER felt it would not be safe
3 R refused or was not willing to complete the test
4 R tried but was unable to complete test
5 R did not understand the instructions
97 Other (Specify)
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PF008 IWER: Record other reason
IWER: RECORD OTHER REASON
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End of PF. Peak Flow
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