Breath and Heart Sounds Flashcards
(24 cards)
Normal Breathing Sounds
Brochial, Bronchovesicular, and Vesicular
Sound added or superimposed over normal breath sounds
Adventitious Sounds
Adventitious Lung sound
Wheezes, and Crackles
Breath sound
- Pitch : High
- Quality : Harsh or Hollow
- Amplitute : Loud
- Duration : Short during inspiration; Long during expiration
- Location : Trachea and Thorax
Bronchial
Breath sound
- Pitch : Moderate
- Quality : Mixed
- Amplitute : Moderate
- Duration : Same during inspiration and expiration
- Location : Over the major Bronchi - Posterior; bet. The Scapulae; Anterior; Around the uppder sternum in the first and scond intercostal spaces
Bronchovesicular
Breath sound
- Pitch : Low
- Quality : Breezy
- Amplitute : Soft
- Duration : Long in inspiration; in expiration
- Location : Peripheral lung field
Vesicular
Adventitious Breath sounds
Discontinous Sound, Crackles (coarse), Crackles (fine), Continous Sound Pleural Friction Rub, Wheeze (Sibilant), Wheeze (Sonorous)
Characteristics : High pitched, Short, Popping sounds heard during inspiration
Source : Inhaled air suddenly opens the small, deflated air passages that are coated with sticky with exudate
Associated Condition - Crackles occuring during inspiration (related to pneumonia and congestive heart failure)
Discontinous Sound
Characteristic : Low pitch, bubbling, moist sounds that may persist from early inspiration to early expiration
Source : Inhaled air comes into contact with secretion in the large bronchi and trachea
Associated condition : Pneumonia, Pulmunary Edema, and Pulmunary Fibrosis are heard louder and closer to stethoscope
Crackles (Coarse)
Description: 12 - 20 Breaths/min and regular
Normal Breathing
More than 24 breaths/min and Shallow
Tachypnea (Description)
Less than 10 breaths/min and regular
Bradypnea - Description
Increased rate and decreased depth - Description
Hyperventilation
Description - Rapid, Deep, Labored
Kissmaul
Description - Decreased Rate, Decreased Depth, Irregular pattern
Hypoventilation
Description - Regular patterns characterized by alternating periods of deep, rapid breathing followed by period of apnea
Biot’s Respiration
Description - Significant disorganization with irregular and varying depths of respiration
Ataxic
Description - Increasing difficulty in getting breath out
Air trapping
Clinical indication - May be a normal response to fever, anxiety, or exercise. Can occur with respiratory insufficiency, alkalosis, pneumonia, or pleurisy
Tachpnea
Clinical Indication - Usually occurs with extreme exercise, deat, or anxiety. Causes ______ includes disorders of the central nervous system, an overdose ofdrug salicylate or Secrete anxiety
Hyperventilation
Clinical Indication - May result from severe congestive heart failure, drug overdose, increased intracranial pressure, or renal failure. May be noted in elderly person during sleep not related to any Disease process
Cheyne-stokes respiration
Clinical Indication - May be seen with meningitis or severe brain damage
Biot’s respiration
Clinical Indication - A more extreme expression of Biot’s respirations indicating respiratory compromise
Ataxic
Clinical Indication - In chronic obstructive pumonary disease, air is trapped in the lungs during forced respiration
Air trapping
