Author Topic: Lung Sounds  (Read 512 times)

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Lung Sounds
« on: February 15, 2012, 02:24:55 pm »
Questions...

When we listen for lung sounds when will we do this?  How many times throughout the patient assessment?

Where are you going to listen and when?

What exactly are we listening for?

What are the terms we use for the different lung sounds we hear?  And can they be associated with anything in particular?

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mikekennedy

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Re: Lung Sounds
« Reply #1 on: February 17, 2012, 09:39:21 pm »
lung sounds should be listened for during initial vital signs, after that they should be assessed with each set of vital signs, after any breathing treatment, or if audible change is detected, as a basic the locations to listen would be the apexs and flanks of each side, we are listening for rales, rhonci, wheezes,stridor etc.....all of these sounds are associated with a certain disorder. for example wheezes is a good indicator or an asmatic and stridor is an indicator of airway obstruction

04251704

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Re: Lung Sounds
« Reply #2 on: February 20, 2012, 08:55:15 pm »
You would listen to lung sounds during initial assessment then again after any change in breathing or after the administration of oxygen or any breathing treatment (inhaler or nebulizer) to see if the treatment or oxygen improved the condition or not.
  I would listen to all four quadrants and on the patients anterior and posterior sides.

 I would listen for any lung sounds and if the patient was getting adequent air exchange withint the lungs.

Wheezing could be caused by asthma, emphazema, COPD, or broncitis.

Stridor could be indication of an upper airway obstruction

Crankles could be caused by fluid in the the aveoli

Rhonci could indicate pnemonia or bronchitis

jbednarczyk

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Re: Lung Sounds
« Reply #3 on: March 10, 2012, 05:10:29 pm »
We would listen after the inital assessmet.  And during the focus physical exam.

We would listen in the upper and lower chest,upper and lower back, and under arm pit ("mid axillary line")

We would be listening for air movement ( noise and sounds)

Wheezes (asthma), Crackles(fluid) , Rhonchi (bronchitis) , Stridor (obstruction), and no sound (trouble)


10275013

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Re: Lung Sounds
« Reply #4 on: March 12, 2012, 01:41:13 am »
I would listen after the initial assesment and durring your physical focused exam; especially if your patient is a difficulty breathing patient.  I would also listen durring each recording of vital signs