Assessment by Ausculation
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| Assessment By Auscultation Normal Breath Sounds: Vesicular | show 🗑
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| show | normal sounds in both lungs
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| show | normal sounds heard over the trachea or bronchi.
the sounds heard over lung periphery = lung consolidation
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| show | changes in the breath sounds will identify where the problem is.
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| Assessment By Auscultation Egophony | show 🗑
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| show | increased intensity of spoke voice
= pneumonia and consolidation
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| Assessment By Auscultation Increased/Decreased | show 🗑
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| show | rales/ crackles = secretion/ fluid
coarse rales (rhonchi) = large airway secretions
Tx: patient needs suctioning
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| show | medium rales = middle airway secretions
Tx: patient need chest physical therapy
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| show | fine rales = (moist crepitant rales) = alveoli, fluid
patient has CHF/ pulmonary edema
Tx: IPPB, heart drugs, diuretics, and oxygen
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| show | due to bronchospasm
Tx: bronchodilator
unilateral wheeze = foreign body obstruction
Tx: bronchoscope
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| Assessment By Auscultation Abnormal Breath Sounds/Adventitious/ Stridor | show 🗑
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| show | topical decongestant (racemic epinephrine) for swelling/edema
suction/bronchoscope for secretions/foreign body
intubate for SEVERE swelling and epiglottis
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| show | coarse or crunching sound
caused by inflamed surface of visceral & parietal rubbing
Association: TB, pneumonia, pulmonary infarction, cancer
Tx: steroids and antibiotics
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| show | sounds made by the closure of the heart valves
first sound S1= mitral and tricuspid valve at beginning of ventricular contraction
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| Assessment By Auscultation Heart Sounds/Normal/S2 | show 🗑
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| show | if you hear S3 in adults = abnormal = suggest CHF
= myocardial infarction or cardiomegaly
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| Assessment By Auscultation Heart Sounds/Abnormal/S3 &S4 | show 🗑
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| Assessment By Auscultation Heart Sounds/Abnormal/Heart Murmurs | show 🗑
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| Assessment By Auscultation Heart Sounds/Abnormal/Heart Murmurs Occurs | show 🗑
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| show | are the sounds made in an artery or vein
that moves at an abnormal speed.
heard over stethoscope over the identified vessel
carotid
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| show | measure the systolic and diastolic pressures.
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| show | use a sphygmomanometer to measure cuff pressure.
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| Assessment By Auscultation Blood Pressure/Normal | show 🗑
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| show | hypertension = indicates stress = hypoxemia
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| Assessment By Auscultation Blood Pressure/Decreased | show 🗑
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Created by:
sukar
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