Airway and breathing sounds Flashcards

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1
Q

Normal sound of tracheal sounds?

A

Harsh, hollow

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2
Q

Normal sound of bronchial sounds?

A

High pitched, loud, hollow

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3
Q

Normal sound of bronchovesicular sounds?

A

Low pitched, hollow (Anterior & Posterior)

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4
Q

Normal sound of vesicular sounds?

A

Low pitched, blowing (Anterior & Posterior)

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5
Q

Abnormal sounds: Wheezing?

A
  • High pitched, musical

- Air is moving through a narrow airway

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6
Q

Abnormal sounds: When is wheezing heard?

A
  • Heard on inspiration and expiration

- Continuous

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7
Q

Abnormal sounds: What is associated with wheezing?

A
  • Asthma
  • Sputum
  • Inflammation
  • COPD
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8
Q

Abnormal sounds: Crackles? Both types

A
  1. Fine- hair moving through fingers, woodburning. Clears with coughing
  2. Coarse- Low, bubbling (wet) sound. Not cleared when coughing
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9
Q

Abnormal sounds: Why is Crackles heard? When?

A
  • Air being forced through narrow airway or alveoli
  • Heard on inspiration the most
  • Discontinuous
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10
Q

Abnormal sounds: What is associated with crackles?

A
  • Alveoli pulmonary edema

- congestive heart failure

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11
Q

Abnormal sounds: Stridor?

A

-Obstruction in the upper airway (larynx or trachea), high pitched

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12
Q

Abnormal sounds: When is stridor heard?

A

Mostly heard on inspiration

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13
Q

Abnormal sounds: What is associated with stridor?

A
  • Croup

- Foreign body in airway

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14
Q

Abnormal sounds: Rhonchi?

A
  • Low pitched rattling sounds
  • Sounds like a snore
  • Caused by muscus in the larger airway
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15
Q

Abnormal sounds: When is Rhonchi heard?

A

-Heard on inspiration and expiration

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16
Q

Abnormal sounds: What is associated with rhonchi?

A

Pneumonia, Bronchitis

17
Q

Nature of airway sounds: Possibilities if clear?

A
  • Metabolic problems
  • Myocardial infarction
  • Pulmonary embolus
  • Hyperventilation
18
Q

Nature of airway sounds: Possibilities if stridor?

A
  • Complete or partial obstruction?

- Consider Anaphylaxis

19
Q

Nature of airway sounds: Possibilities if Rhonchi?

A

-Pneumonia

20
Q

Nature of airway sounds: What to do if Rhonchi?

A
  • Sit patient upright
  • Consider fluid bolus
  • Refer to CPAP procedure
21
Q

Nature of airway sounds: Possibilities if crackles?

A
  • CHF

- Pulmonary edema

22
Q

Nature of airway sounds: Possibilities if Wheezing?

A
  • Asthma

- COPD

23
Q

Nature of airway sounds: First treatment for wheezing?

A
  • Assist patient with their own Albuterol (if available)

- Consider CPAP

24
Q

Nature of airway sounds: wheezing. What to do for impending respiratory failure, unable to tolerate nebulizer treatments?

A
  • Administer Epinephrine 1mg/ml, .3mg IM

- If a second nebulized treatment is needed, administer STEROID (Prednisone 50mg tablet or Methylprednisolone 125mg IV)