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Respiratory Sounds

Respiratory Assessments sounds

Tachypnea 20 breaths/minute
Hyperventilation Rapid, deep respiration >20 breaths/minute
Apneustic Neurological—sustained inspiratory effort
Cheyenne-Stokes Neurological—alternating patterns of depth separated by brief periods of apnea
Kussmaul’s Rapid, deep, and labored—common in DKA
Bradypenia <12 breaths/min
Air trapping Difficulty during expiration—emphysema
Documentation of lung sounds Rate, rhythm, depth, effort, sounds (indicate if sound of lung sounds is inspiratory and/or expiratory phase), and fields of auscultation, interventions (if any) and outcomes
Unilaterally absent or diminished Inability to hear equal, bilateral breath sounds ( pneumothorax, tension pneumothorax, hemothorax, or history of pneumectomy)
Rales/crackles Simulated by rolling hair near ear between two fingers, best heard on inspiration in lower bases, unrelieved by coughing, ( CHF, pneumonia)
Wheezes High-pitched, squeaking sound, best heard on expiration over all lung fields, unrelieved by coughing ( asthma, COPD, emphysema)
Rhonchi Coarse, harsh, loud gurgling or rattling, best heard on expiration over bronchi and trachea, often relieved by coughing ( bronchitis, pneumonia)
Stridor Life-threatening! Harsh, high-pitched, easily audible on inspiration, progressive narrowing of upper airway requiring immediate attention ( partial airway obstruction, croup, epiglottitis)
Created by: rtcdavis