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Bronchodilator Response Calculator

The change in FEV₁ (or FVC) after a bronchodilator, against the classic 12% and 200 mL reversibility threshold.

Written by Apex Respiratory Editorial Team

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Enter the pre- and post-bronchodilator values to calculate the response.

Reading reversibility honestly

The classic ATS/ERS 2005 criterion calls a response significant when FEV₁ or FVC rises by at least 12% and at least 200 mL from the pre-bronchodilator baseline. Enter the pre and post values for whichever parameter you are testing.

A significant response supports reversible obstruction (asthma), but a negative test does not exclude it — correlate with the whole clinical picture. Note the 2022 ATS/ERS update redefined a significant response as a change greater than 10% of the predicted value.

Educational use only. This material supports respiratory therapy education and exam review. It is not medical advice and is not a substitute for clinical judgment, institutional protocols, or physician orders. Always follow facility policies and current provider orders, and verify calculations independently before clinical use.

Sources

  1. Pellegrino R, Viegi G, Brusasco V, et al. Interpretative strategies for lung function tests. Eur Respir J. 2005;26(5):948-968.
  2. Kacmarek RM, Stoller JK, Heuer AJ. Egan's Fundamentals of Respiratory Care. 12th ed. Elsevier; 2021. Pulmonary function testing chapters.

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