Breath Sounds

Question 1

Bronchial (location, explain, & sound heard)

Answer 1

( normal )
Located @ Trachea and larynx
Explains where bronchus is
Sound is hollow
Exp > Ins

Question 2

Broncho Vesicular (location, explain, & sound heard)

Answer 2

( normal )
Located at 1st and 2nd ICS (ant. and post.)
Explains where junc of bronchus AND vesicular sacs
Sound is moderate blowing
Exp = Ins

Question 3

Vesicular (location, explain, & sound heard)

Answer 3

( normal )
Located at periph base of lung
Explains where the vesicular sacs are
Low soft whisper
Inspir > Expir

Question 4

Crackles/Rale (sound, suggests, treatment)

Answer 4

( Abnormal, Adventitious ) - Discontinuous < 0.2s
Sounds of non-musical popping/bubbling
Suggests fluid in the lungs
Heard at INSP @ the post. base of the lung
Cant be cleared with cough
Treat with diuretic (Furosemide)

Question 5

Wheeze - High pitch (sound, suggests, treatment)

Answer 5

( Abnormal, Adventitious ) - Continuous > 0.2s
Sounds squeaky or musical on expir
Hear on EXPIR
Suggest asthma/COPD/obstructive
Treat with bronchodialators or corticosteroids

Question 6

Wheeze - Low Pitch - Rhonchi (sound, suggests, treatment)

Answer 6

( Abnormal, Adventitious ) - Continuous > 0.2s
Whistle or whine on EXPIR
Air passing around secretions
Treated and cleared by coughing

Question 7

Stridor (sound, suggests, treatment)

Answer 7

( Abnormal, Adventitious ) - Disontinuous < 0.2s
Sound of high pitch harsh whistling/gasp Inspir& expir
Suggest obstruction
Treat with intubation **EMERGENCY***

Question 8

Friction Rub

Answer 8

Heard on inspir & expir
Pleura rubbing togethor due to inflammation
Low pitch harsh grating sound