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Patient Assessment

Breath Sounds/Patterns

QuestionAnswer
Vesicular BS Normal; low pitch soft sounds, "whispering, rustling of leaves"; inspiration longer than expiration, heard over lung periphery
Bronchial BS Normal; loud, high pitch, hollowing sounding; Expiration longer than inspiration w/ short pause; heard over upper sternum (monubrium) bc of the right/left main stem
Bronchovesicular BS Muted sound, with pause between inspiration and expiration, both are roughly the same length; heard over sternum between scapulae and rt. apex
Tracheal BS Hard, high pitch sounds; expiration longer than inspiration
Harsh BS Normal breath sounds louder than normal
Diminished BS Normal breath sounds quieter than normal
Abnormal BS Hearing 'normal' breath sounds in areas, in which, are not appropriate.
Adventitious BS Crackles, wheezes, rhonchi, pleural rub, stridor
Continuous BS wheezes, rhonchi, stridor
Discontinuous BS Crackles
Wheezes High pitched, can either be monophonic (tumor, foreign object) or polyphonic (asthma)
Rhonchi Low pitched, sounds like snoring, usually because of secretions
Stridor heard over trachea durning inspiration, obstruction of trachea/larynx
Crackles Low pitched, inspiration and expiration, coarse crackles dealing with secretions in larger airways, fine crackles = atelectasis, fibrosis, pulmonary edema
Kussmal's Breathing Deep and rapid; caused by ketoacidosis, diabetic coma
Biot's Breathing Very irregular breathing with periods of apnea; caused be a rise in intercranial pressure
Cheyne-Stoke's Breathing Gradual increase, gradual decrease followed with apnea; caused by CNS depression, CHF
Apneustic Breathing Prolonged inspiration, regular expiration; caused by brain injury
Paradoxical Breathing Chest depresses on inspiration, expiration chest puffs; caused by chest injury
Asthmatic Breathing Prolonged expiration, regular inspiration
Tactile Fremitus; increased Something inside the lung; secretions, tumor, pneumonia,
Tactile Fremitus; decreased Something outside the lung; pnuemothorax, pleural effusion
Created by: itsmrsbungle
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