Breath Sounds

Card Set Information

Author:
lay-z
ID:
85458
Filename:
Breath Sounds
Updated:
2011-05-12 17:27:09
Tags:
medical breathing respiratory
Folders:

Description:
Different kinds of breath sounds.
Show Answers:

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  1. Tracheal
    • Type: Normal
    • Intensity: Very loud
    • Pitch: High-pitched
    • Character: Harsh-sounding
    • Procedure: Auscultated in trachea
  2. Vesicular
    • Type: Normal
    • Intensity: Soft
    • Pitch: Low-pitched
    • Character: "Gentle rustling quality"
    • Procedure: Heard throughout most of the lungs
  3. Bronchial
    • Type: Normal
    • Intensity: Loud
    • Pitch: High-pitched
    • Character: Tubular; sounds close to stethoscope
    • Gap exists btwn insp and exp sounds
    • Procedure: Auscultated over manubrium
    • Heard anywhere else suggests consolidation
  4. Bronchovesicular
    • Type: Normal
    • Intensity: Moderately loud
    • Pitch: Medium-pitched
    • Character: Rustling
    • Procedure: Auscultated in 1st & 2nd ICS (anterior) or btwn scapulae (posterior)
    • Heard in Pts: with consolidation
  5. Absent/Decreased
    • Type: Abnormal
    • Intensity: N/A
    • Pitch: N/A
    • Character: Normal breath sounds are decreased or absent.
    • Heard in Pts: ARDS, asthma, atelectasis, emphysema, pleural effusion, pneumothorax
  6. Bronchial (a/n)
    • Type: Abnormal
    • Heard in areas of consolidation
    • Located anywhere else in the lungs (other than manubrium)
  7. Crackles (rales)
    • Type: Adventitious
    • Intensity: Soft/fine or Loud/coarse
    • Pitch: High-pitched/fine or low-pitched/coarse
    • Character: Sounds discontinuous, nonmusical, brief
    • Heard upon: inspiration
    • Heard in Pts: ARDS, asthma, bronchiectasis, bronchitis, conslidation, CHF, interstitial lung disease, pneumonia
    • Location: anterior lung base after max expiration or prolonged recumbency
    • Cause: Excessive fluid in airway
  8. Wheeze
    • Type: Adventitious
    • Intensity: medium-loud
    • Pitch: High-pitched
    • Character: Continuous sounds, monophonic or polyphonic (suggests blockage of how many # airways)
    • Heard upon: expiration
    • Forced airflow through partially collapsed or narrowed airway via any method (inflam, obstruction, etc)
    • Heard in Pts: Asthma, CHF, chronic bronchitis, COPD, pulmonary edema
    • Location:
  9. Rhonchi
    • Type: Adventitious
    • Intensity: soft
    • Pitch: Low-pitched
    • Character: Continuous musical sounds, like wheezing (suggests blockage of larger airways)
    • Heard upon: expiration
    • Heard in Pts:
    • Location:
  10. Stridor
    • Type: Adventitious
    • Intensity:
    • Pitch:
    • Character: Musical wheezes (suggests blockage in trachea or larynx)
    • Heard upon: Inspiration
    • Heard in Pts: Croup
    • Location: best in trachea
  11. Pleural rub
    • Type: Adventitious
    • Intensity:
    • Pitch:
    • Character: Creaking/brushing sounds; continuous or discontinuous
    • Heard upon: Inspiration & expiration
    • Heard in Pts: Pleural effusion, pneumothorax
    • Location: Localized, anywhere in chest wall
  12. Mediastinal crunch
    • Type: Adventitious
    • Intensity:
    • Pitch:
    • Character: Crackles heard w/heart beats
    • Heard upon: Heart beat
    • Heard in Pts: pneumomediastinum
    • Location:

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