Heart and Lung sounds (exam 1) Flashcards
Where do u auscultate the superior lobes?
Bilat. chest, above nipples
or on sides right under bilat. armpits
where do u auscultate the middle lobe?
on the R side just lateral to nipple
on the R chest wall just medial to nipple
where do u auscultate the inferior lobes
on the middle back, bilaterally
on the bilateral sides towards the posterior around ribs 6-10ish area
how do u ask the patient to breath when ausculating?
open mouth
deeper and more forceful than normal
seated position
listen to one full breath at each location
what are normal breath sounds?
vesicular
bronchial
where do u hear vesicular sounds
all over lungs, not over trachea or manubrium or interscap. region
what do vesicular sounds sound like?
Looooong INHALE, short EXHALE
low pitch,
soft expiration
where do you hear bronchial sounds?
only over the trachea
what do bronchial sounds sound like?
short INHALE, Looooooooong Exhale
louder
higher pitched and
loud expiration
what do rhonchi sound like?
course rattling with EXHALATION
very clear, low pitched
abnormal
causes of rhonchi?
mucous
pneumonia, bronchitis, cystic fibrosis
what do rales sound like?
crackles fine rattling, non-continuous high pitched with INHALE abnormal like hair being rubbed together over your ear
causes of rales
fluid
PE, pneumonia, asthma
what does coughing do to rales?
makes them louder
What do wheezes sound like?
HIGH pitched whistle during INHALATION
abnormal
