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Fairly new grad with conflicting information. When I have a normal spirometry my previous supervising physician had me do albuterol new and repeat spiro to see if any change in values if the patient had a history of asthma or albuterol use. Do I really need to repeat even if values were normal to begin? My supervising physician retired and my new Supervising physician is indifferent to what I do. 

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It depends on why you are doing the test... what information you want to get from the test?  If it is because of symptoms you can give the albuterol to see if the patient gets relief and then document the symptoms, the numbers may not or may not change.  If it's because they have a history of asthma you may still get normal PFT results because asthma is episodic and reversible so they may not be having a problem currently

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