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Respiratory | Te Tai Tokerau (Northland)
Public Service, Respiratory
Description
Common symptoms of lung disease include: shortness of breath, wheezing, long-term cough, coughing up blood, and having chest pains. A lot of different conditions are seen in the Department for instance asthma, COPD, fibrosis of the lungs, lung cancer, pulmonary embolism (blood clots in the lungs), lung disease caused by work, and numerous uncommon disorders.
The Respiratory Department
The Department is staffed by respiratory physicians (doctors who specialise in treating conditions of the lungs), specially trained nurses, technicians, physiotherapists, and registrars (doctors training to be specialists).
Referral Expectations
Outpatient Clinics and Procedures
Your GP will refer you to one of our clinics if they are concerned about your lungs or breathing and want a specialist opinion. The referral is prioritised depending on urgency, with waiting times of 2 weeks to 6 months.
Recommendations and options regarding your diagnosis and treatment plan will be discussed with you and a letter will be sent to your GP.
You need to bring to your appointment:
- Any letters or reports from your doctor or another hospital
- Any X-rays, CT (computer tomography) or MRI (magnetic resonance imaging) films and reports
- All medicines you are currently taking, including herbal and natural remedies
- Your pharmaceutical entitlement card.
If you have any change in your condition before you come to your appointment, please see your GP immediately.
Common Conditions / Procedures / Treatments
Asthma
Asthma
Service types: Asthma.
This is similar to a blood test but instead of a needle going into a vein it is inserted briefly into a small artery in your wrist. A small amount of blood is taken and sent to the laboratory for information about the oxygenation of your blood and other gases. Blood gas measurements may also be used if you have known respiratory, metabolic or kidney disease, especially if you have severe difficulty breathing. Many conditions can cause a blood gas imbalance and while the blood gas tests do not identify the exact cause of the imbalance they will point to either a respiratory or metabolic problem.
This is similar to a blood test but instead of a needle going into a vein it is inserted briefly into a small artery in your wrist. A small amount of blood is taken and sent to the laboratory for information about the oxygenation of your blood and other gases. Blood gas measurements may also be used if you have known respiratory, metabolic or kidney disease, especially if you have severe difficulty breathing. Many conditions can cause a blood gas imbalance and while the blood gas tests do not identify the exact cause of the imbalance they will point to either a respiratory or metabolic problem.
This is similar to a blood test but instead of a needle going into a vein it is inserted briefly into a small artery in your wrist. A small amount of blood is taken and sent to the laboratory for information about the oxygenation of your blood and other gases.
Blood gas measurements may also be used if you have known respiratory, metabolic or kidney disease, especially if you have severe difficulty breathing. Many conditions can cause a blood gas imbalance and while the blood gas tests do not identify the exact cause of the imbalance they will point to either a respiratory or metabolic problem.
A tiny camera attached to a long tube is inserted through your nose or mouth and passed down through the airways into your lungs. This allows the surgeon to make a diagnosis either by seeing directly what is causing the problem or by taking a small tissue (biopsy) or lung secretion sample.
A tiny camera attached to a long tube is inserted through your nose or mouth and passed down through the airways into your lungs. This allows the surgeon to make a diagnosis either by seeing directly what is causing the problem or by taking a small tissue (biopsy) or lung secretion sample.
A tiny camera attached to a long tube is inserted through your nose or mouth and passed down through the airways into your lungs. This allows the surgeon to make a diagnosis either by seeing directly what is causing the problem or by taking a small tissue (biopsy) or lung secretion sample.
A chest X-ray is normally undertaken to check the chest wall, lungs and heart. A chest X-ray is often the first test used to determine the reason for shortness of breath, persistent cough, chest pain or injury. Although you may think of an X-ray as a picture of bones, a trained observer can also see air spaces, like the lungs (which look black) and fluid (which looks white). Women should always advise their doctor if they are or think they may be pregnant before an X-ray is undertaken. When having a chest X-ray you are exposed to a very small amount of radiation. What to expect? You will have all metal objects removed from your body. You will be asked to remain still in a specific position and hold your breath on command. There are staff present, but they will not necessarily remain in the room, but will speak with you via an intercom system and will be viewing the procedure constantly through a windowed control room.
A chest X-ray is normally undertaken to check the chest wall, lungs and heart. A chest X-ray is often the first test used to determine the reason for shortness of breath, persistent cough, chest pain or injury. Although you may think of an X-ray as a picture of bones, a trained observer can also see air spaces, like the lungs (which look black) and fluid (which looks white). Women should always advise their doctor if they are or think they may be pregnant before an X-ray is undertaken. When having a chest X-ray you are exposed to a very small amount of radiation. What to expect? You will have all metal objects removed from your body. You will be asked to remain still in a specific position and hold your breath on command. There are staff present, but they will not necessarily remain in the room, but will speak with you via an intercom system and will be viewing the procedure constantly through a windowed control room.
A chest X-ray is normally undertaken to check the chest wall, lungs and heart. A chest X-ray is often the first test used to determine the reason for shortness of breath, persistent cough, chest pain or injury. Although you may think of an X-ray as a picture of bones, a trained observer can also see air spaces, like the lungs (which look black) and fluid (which looks white).
Women should always advise their doctor if they are or think they may be pregnant before an X-ray is undertaken. When having a chest X-ray you are exposed to a very small amount of radiation.
What to expect?
You will have all metal objects removed from your body. You will be asked to remain still in a specific position and hold your breath on command. There are staff present, but they will not necessarily remain in the room, but will speak with you via an intercom system and will be viewing the procedure constantly through a windowed control room.
Chronic obstructive pulmonary disease (COPD)
Chronic obstructive pulmonary disease (COPD)
Service types: Chronic obstructive pulmonary disease (COPD).
Computer tomography (CT) scan
Computer tomography (CT) scan
Service types: Chest computer tomography (CT) scan.
Depending on what is seen on the CT scan an additional test can be done where a fine needle is inserted into your chest into the cancer and some cells sucked up into the needle. This is done while taking pictures with the CT scanner to guide the doctor as to where to place the needle. Local anaesthetic is put into your skin and muscles so that the test is not overly painful. A specialist doctor does this.
Depending on what is seen on the CT scan an additional test can be done where a fine needle is inserted into your chest into the cancer and some cells sucked up into the needle. This is done while taking pictures with the CT scanner to guide the doctor as to where to place the needle. Local anaesthetic is put into your skin and muscles so that the test is not overly painful. A specialist doctor does this.
Depending on what is seen on the CT scan an additional test can be done where a fine needle is inserted into your chest into the cancer and some cells sucked up into the needle. This is done while taking pictures with the CT scanner to guide the doctor as to where to place the needle. Local anaesthetic is put into your skin and muscles so that the test is not overly painful. A specialist doctor does this.
Lung cancer
Lung cancer
Service types: Lung cancer.
Spirometry is a tool that measures how effectively your lungs are working. It can show how much air lungs are able to hold (their volume) and how much air can be breathed in and out (inhaled and exhaled) which is called flow. It can be used to diagnose problems of breathing and monitor the usefulness of treatment. The test involves taking a deep breath in and blowing out as hard as you can into a hollow tube attached to a spirometer machine. You will be asked to do the test several times. The whole process takes 15 - 30 minutes depending on whether you are given some inhaled medicine and asked to do it again to monitor if there is an improvement. Read more about Spirometry on the Healthify website Peak flow meter This is a small hand-held tube that can measure what is happening in your breathing tubes. You can have one at home and measure your peak flow by blowing into it as hard and fast as possible. You will be shown how to measure it and compare it with what you can blow when you are well as part of your asthma management plan if you think you are having an asthma attack. For more information view on the Healthify website
Spirometry is a tool that measures how effectively your lungs are working. It can show how much air lungs are able to hold (their volume) and how much air can be breathed in and out (inhaled and exhaled) which is called flow. It can be used to diagnose problems of breathing and monitor the usefulness of treatment. The test involves taking a deep breath in and blowing out as hard as you can into a hollow tube attached to a spirometer machine. You will be asked to do the test several times. The whole process takes 15 - 30 minutes depending on whether you are given some inhaled medicine and asked to do it again to monitor if there is an improvement. Read more about Spirometry on the Healthify website Peak flow meter This is a small hand-held tube that can measure what is happening in your breathing tubes. You can have one at home and measure your peak flow by blowing into it as hard and fast as possible. You will be shown how to measure it and compare it with what you can blow when you are well as part of your asthma management plan if you think you are having an asthma attack. For more information view on the Healthify website
Spirometry is a tool that measures how effectively your lungs are working. It can show how much air lungs are able to hold (their volume) and how much air can be breathed in and out (inhaled and exhaled) which is called flow. It can be used to diagnose problems of breathing and monitor the usefulness of treatment. The test involves taking a deep breath in and blowing out as hard as you can into a hollow tube attached to a spirometer machine. You will be asked to do the test several times. The whole process takes 15 - 30 minutes depending on whether you are given some inhaled medicine and asked to do it again to monitor if there is an improvement. Read more about Spirometry on the Healthify website
Peak flow meter This is a small hand-held tube that can measure what is happening in your breathing tubes. You can have one at home and measure your peak flow by blowing into it as hard and fast as possible. You will be shown how to measure it and compare it with what you can blow when you are well as part of your asthma management plan if you think you are having an asthma attack. For more information view on the Healthify website
Sleep problems
Sleep problems
Service types: Sleep disorders | Sleep studies.
Document Downloads
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Patient Sleep Questionnaire
(DOC, 77 KB)
Click on the above link to download the questionnaire you need to fill out prior to having a sleep study at the hospital.
Website
Contact Details
Whangārei Hospital
Northland
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Phone
0800 000 177
Website
Whangarei Hospital
2 Hospital Road
Whangarei
Street Address
Whangārei Hospital
2 Hospital Road
Whangārei
Postal Address
Whangārei Hospital
Private Bag 9742
Whangārei 0148
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This page was last updated at 9:42AM on December 17, 2021. This information is reviewed and edited by Respiratory | Te Tai Tokerau (Northland).