Breath sounds & Chest Tube (S.G) Flashcards
Normal Breath Sounds
- Vesicular
- Bronchovesicular
- Bronchial
- Vesicular Sound location
over most of the lungs
Vesicular pitch
Low
Vesicular exhalation
short and soft
Vesicular inhalation
Long
I > E
- Bronchovesicular sound location
bronchus, posterior back
Bronchovesicular pitch
medium
Bronchovesicular exhalation
Exhalation= inhalation
I=E
- Bronchial Sound Location
only over the trachea
Bronchial Pitch
High
Bronchial exhalation
loud and long
I
3 Adventitious Breath Sounds
- Crackles
- wheezes
- pleural friction rub
- crackles cause
fluid & secretions in the airway
crackles sounds
short popping and cracking
crackles disease association
- pneumonia
- pulmonary edema
- pulmonary fibrosis
- atelectasis
- wheezes cause
air flowing at a high velocity through a narrow airway
Wheeze sounds
high pitch, squeeking, whistling
wheeze disease association
- asthma
- bronchospasm
- pleural friction rub cause
irritated pleural spaces rubbing together
pleural friction rub sounds
cracking, dry, course, leathery
pleural friction rub disease assoc.
- plueral effusion
- pleurisy
3 other abnormal breath sounds
- absent
- diminished
- strider
- absent cause
NO airflow to part of lung
absent dz assoc.
- atelectasis
- pneumonectomy
- lung mass
- diminished cause
LITTLE airflow to part of lung
diminished dz. assoc.
- atelectasis
- COPD
- obesity
- Strider causes
Obstruction in TRACHEA or LARYNX
strider sounds
loud, high-pitch
Chest tube uses
to remove fluid or air from the pleural space
3 settings for chest tubes
- suction (orange accordion)
- Water seal- to gravity
- Clamped- @ the tube. follow all the way up to pt.
How will you know if there is an air leak in a chest tube?
blue water will be bubbling
why would there be an air leak in a chest tube ?
- bad connection
- pneumothorax
Where should a chest tube compartment be placed?
- below level of chest
- free of kinks
What do you use for accidental dislodgements of chest tubes?
STERILE VASELINE
