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Respiratory Sounds
Respiratory Assessments sounds
| Question | Answer |
|---|---|
| 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
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