WEEK 13 LAB QUIZ BREATHE SOUNDS Flashcards
NORMAL BREATHE SOUND–1
______________ BREATH SOUNDS–are hollow, tubular sounds that are lower pitched. They can be auscultated over the trachea where they are considered normal. There is a distinct PAUSE in the sound between inspiration and expiration. ex. a ratio of 1:3
BRONCHIAL
NORMAL BREATHE SOUND–2
_____________ breath sounds are heard across the lung surface. They are LOWER pitched, RUSTLING sounds with a HIGHER INTENSITY during INSPIRATION. During expiration, sound intensity can quickly FADE. Inspiration is normally
2-3 times the length of expiration.
VESICULAR
_____ _________—are brief, discontinuous, POPPING LUNG SOUNDS that are HIGH-PITCHED. ______ _______ are also similiar to the sound of WOOD BURNING in a fireplace, or cellophane being crumpled. ________ _________, previously termed “RALES”, can be heard in both phases of respiration. Early inspiratory and expiratory _______________ are the hallmark of chronic bronchitis. Late inspiratory __________ _______ may mean pneumonia, CHF, or atelectasis.
**same answer for all blanks.
FINE CRACKLES
_________ _______—–are discontinuous brief, POPPING LUNG SOUNDS. Compared to the “other” disease of the same name, these are LOUDER, LOWER in pitch and last LONGER. They have also been described as a BUBBLING SOUND. You can simulate this sound by rolling strands of hair between your fingers near your ear.
COURSE CRACKLES
__________–are ADVENTITIOUS LUNG SOUNDS that are continuous with a MUSICAL quality. They can be high or low pitched. High pitched ________ may have an auscultation sound similiar to SQUEAKING. Lower pitched ________ have a SNORING or MOANING quality. They are caused by NARROWING of the AIRWAYS. ex. asthma or COPD.
***all are same name
WHEEZES
_________—is caused by upper airway NARROWING or OBSTRUCTION. It is often heard without a stethoscope. It occurs 10–20% of extubated patients. It is a LOUD, HIGH-PITCHED CROWING breath sound heard during INSPIRATION but may also occur throughout the respiratory cycle most notably as a patient worsens. In children, it may become LOUDER in the SUPINE position. Causes are pertussis, croup, epiglottis, aspirtions and laryngeal tumor.
STRIDOR
__________—are continuous LOW-PITCHED, RATTLING lung sounds that often resemble SNORING. Obstruction or secretions in larger airways are frequent causes of this disease. They can be heard in patients with COPD, bronchiectasis, pneumonia, chronic bronchitis, or cystic fibrosis. It usually clears after COUGHING.
RHOCHI