Breath Sounds Lecture Flashcards by Amanda silva

Q

Normal Breath Sounds

A

vesicular
bronchovesicular
brochial

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Q

Vesicular

-where is it heard

A

most of the lung field

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Q

Vesicular

-pitch

A

LOW

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Q

Vesicular

-exhalation

A

short and soft

In > Ex

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Q

Bronchovesticular

-where is it heard

A

main bronchus and upper right posterior

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Q

Bronchovesticular

-pitch

A

MEDIUM

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Q

Bronchovesticular

- exhalation

A

Ex = In

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Q

Bronchial

-where is it heard

A

Trachea only

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Q

Bronchial

-pitch

A

HIGH

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Q

Bronchial

-exhalation

A

loud and long

In

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Q

Normal breath sounds

pitch
IE ratio

A

low pitch
In > Ex
soft

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Q

Adventitious breath sounds

-3 types

A

crackles
wheezes
pleural friction rub

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Q

Crackles

-cause

A

movement of excess fluids in airway

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Q

Crackles

-sounds

A

-short, popping

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Q

Crackles

-dz assoc

A

pneumonia
pulmonary edema
pulmonary fibrosis
atelectasis

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Q

Wheezes

-cause

A

vibrations when a high velocity of air goes through a narrow airway

Q

Wheezes

-sounds

A

high-pitched, squeaking

Q

Wheezes

-dz assoc

A

asthma

- bronchospasm

Q

Pleural friction rub

-cause

A

-irritated pleural surfaces rubbing together

Q

Pleural friction rub

-sound

A

-creaking, leathery

Q

Pleural friction rub

-dz assoc

A

pleural effusion

- pleurisy

Q

Abnormal Breath Sounds

-3 types

A

absent
diminished
stirdor

Q

Absent

-cause

A

NO airflow to lung

Q

Absent

-dz assoc

A

pnumothorax
pneumonectomy (expected)
lung mass
obstruction

Q

Diminished

-cause

A

Little airflow to a certain area of lung

Q

Diminished

-dz assoc

A

atelectasis
COPD
Obesity

Q

Stridor

-cause

A

sign of obstruction in trachea and larynx

Q

Stridor

-sound

A

high pitched, loud

* sounds like snoring (wake them up to double check)

Q

Stridor

-common with what procedure

A

post extubation d/t swelling

- treat with rescemic epinephrine

Q

Chest tubes

-use

A

to remove air or fluid from the pleural space

Q

Chest tubes

-three settings

A

suction
water seal
clamped

Q

Chest tube

-airleaks

A

see bubbles in water

-check inside and outside tubing

Q

Chest tube

-where to keep the drainage system

A

below level of chest

-free of kinks

Q

Chest tube

-what should you always have?

A

VASELINE GAUZE to plug up a dislodgement

Q

SCVO2 normal value

-what does it detect

A

70-80%

-tissue hypoxia