110 Breath Sound fact sheet

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rcp110

Possible Mechanism: Rapid airflow through obstructed airway. What lung sound would you hear? What may be the cause

Wheezes, Caused by Asthma, CHF or Bronchitis

Characteristics: High pitched, usually expiratory. What lung sound might you hear? What is the possible Mechanism?

Wheezes; Rapid Airflow through obstructed airways

Asthma, CHF and bronchitis; what are the characteristics

high pitched and expiratory

Characteristic: high pitched and monophobic. What lung sound might you hear?

stridor

stridor can be caused by what 3 conditions; what is the possible mechanisms

croup, epiglottitis, post extubation. Rapid Airflow through obstructed UPPER airways

Coarse inspiratory and expiratory, Fine-late expiratory what lung sound may you hear? And what are the 5 possible causes?

crackles; bronchitis, infections, atelectasis, fibrosis, pulmonary edema

excess airway secretions moving suddenly through airways with breathing. What are the characteristics

coarse inspiratory and expiratory, fine, late inspiratory

what lung sounds indicate obstruction of the intrathorasic airways, such as that which occurs with lung disease? What conditions might be present

Expiratory wheezes and rhonchi; Bronchitis and Ashtma

Fine, late inspiratory crackles suggest what? and what disease might be present

restrictive lung disease; pulmonary fibrosis

what lung diseases cause loss of lung volume? How will the patient breath

pulmonary fibrosis, atelectasis; Rapid shallow breaths

With Pulmonary fibrosis and atelectasis the increase in respiratory rate is generally equal to the degree of

lung reduction

lung diseases that cause the intrathorasic airways to narrow are? And this will cause the patient to breath with

Asthma, bronchitis; prolonged expiratory phase

Croup and Epiglottitis causes the upper airway to narrow; how will this patient breath

prolonged inspiratory phase

what is a peak flow meter used for

monitor pulmonary function in Asthma patients; peak flow roughly correlates with the FEVI

how would you use the peak flow meter

1.ask pt to take a deep breath 2. ask them to exhale as fast as they can, 3. Repeat 3x and report average

Test used in certain situations, part of physical exam, largely been replaced by chest xray? These test become abnormal when?

Voice transmission test; Consolidation

palpation using the ball of your hand; you should feel vibrations transmitted through the airways of the lungs. This is called

tactile fremitus

increased tactile fremitus increased means

consolidation of the underlying tissue

with Tactile Fremitus, Bronchophony, Whispered Pectoriloguy; and Egophony you should ask the patient to say "ninety nine" several times however in one of these you ask the patient to say

Egophony "ee" continuously

With Voice Transmission test you should always ausculatate several symmetrical areas of each lung except during

tactile fremitus

Asking the pt to say "ninety nine" and during auscultation you may hear Loud, clearer sounds this is called

bronchophony;

when auscultating for bronchophony what sounds should you hear

muffled and indistint

asking the pt to whisper ninety nine several times, you are trying to auscultate what? and what should you hear

whispered pectoriloguy; faint sounds or nothing at all

If you don't hear faint sounds or nothing at all during auscultation of possible whispered pectoriloguy, what sounds will you hear

hear the sounds Clearly (not faintly)

Asking the pt to say "ee" continuously and auscultating several symmetrical areas over each lung means you are looking for ____? and what Normal sound should you hear

Egophony; you should hear a muffled "ee" sound

if you don't hear a muffled "ee" sound than the patient is said to have ____? and that sounds like what

Egophony aka "E->A"; sound is "ay"

A prolonged expiratory phase (E>I) indicates__? and is seen in pt w__?

airway narrowing; Asthma

A round or barrel chest is often a sign of

advanced emphysema

in what case would the trachea deviate to one side?

case of pneumothorax

decreased or asymmetric diaphragmatic excursion may indicate

paralysis or emphysema

a peak flow meter is to___, as a thermometer is to__?

asthma; fever

what are peak flow measurements used for

to gauge severity of asthma attacks and track the disease over time.

New readings of peak flow measurements are compared to the patients

current persons personal best.

peak flow measurement readings less than __% of "best" may indicate

a need for additional therapy

What peak flow measurement less than__% indicates an emergency situation?

50%

Increased fremitus indicates what?

fluid in the lungs

Decreased fremitus indicates sound transmission obstructed by

COPD

Fluid outside the lung indicated decreased fremitus seen with what condition

plueral effusion

Decreased fremitus with air outside the lung is seen with

pneumothorax

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