Airway and breathing sounds Flashcards
Normal sound of tracheal sounds?
Harsh, hollow
Normal sound of bronchial sounds?
High pitched, loud, hollow
Normal sound of bronchovesicular sounds?
Low pitched, hollow (Anterior & Posterior)
Normal sound of vesicular sounds?
Low pitched, blowing (Anterior & Posterior)
Abnormal sounds: Wheezing?
- High pitched, musical
- Air is moving through a narrow airway
Abnormal sounds: When is wheezing heard?
- Heard on inspiration and expiration
- Continuous
Abnormal sounds: What is associated with wheezing?
- Asthma
- Sputum
- Inflammation
- COPD
Abnormal sounds: Crackles? Both types
- Fine- hair moving through fingers, woodburning. Clears with coughing
- Coarse- Low, bubbling (wet) sound. Not cleared when coughing
Abnormal sounds: Why is Crackles heard? When?
- Air being forced through narrow airway or alveoli
- Heard on inspiration the most
- Discontinuous
Abnormal sounds: What is associated with crackles?
- Alveoli pulmonary edema
- congestive heart failure
Abnormal sounds: Stridor?
-Obstruction in the upper airway (larynx or trachea), high pitched
Abnormal sounds: When is stridor heard?
Mostly heard on inspiration
Abnormal sounds: What is associated with stridor?
- Croup
- Foreign body in airway
Abnormal sounds: Rhonchi?
- Low pitched rattling sounds
- Sounds like a snore
- Caused by muscus in the larger airway
Abnormal sounds: When is Rhonchi heard?
-Heard on inspiration and expiration
Abnormal sounds: What is associated with rhonchi?
Pneumonia, Bronchitis
Nature of airway sounds: Possibilities if clear?
- Metabolic problems
- Myocardial infarction
- Pulmonary embolus
- Hyperventilation
Nature of airway sounds: Possibilities if stridor?
- Complete or partial obstruction?
- Consider Anaphylaxis
Nature of airway sounds: Possibilities if Rhonchi?
-Pneumonia
Nature of airway sounds: What to do if Rhonchi?
- Sit patient upright
- Consider fluid bolus
- Refer to CPAP procedure
Nature of airway sounds: Possibilities if crackles?
- CHF
- Pulmonary edema
Nature of airway sounds: Possibilities if Wheezing?
- Asthma
- COPD
Nature of airway sounds: First treatment for wheezing?
- Assist patient with their own Albuterol (if available)
- Consider CPAP
Nature of airway sounds: wheezing. What to do for impending respiratory failure, unable to tolerate nebulizer treatments?
- Administer Epinephrine 1mg/ml, .3mg IM
- If a second nebulized treatment is needed, administer STEROID (Prednisone 50mg tablet or Methylprednisolone 125mg IV)
