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    Lung Sounds Auscultation - 1

    Uploaded by

    George Barajaz
    Handy reference sheet to teach students where to place their stethoscope for auscultaing lung sounds.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Lung Sounds Auscultation - 1

    Uploaded by

    George Barajaz
    99 views3 pages
    Handy reference sheet to teach students where to place their stethoscope for auscultaing lung sounds.

    Original Title

    Lung Sounds Auscultation -1

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    © © All Rights Reserved

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    Handy reference sheet to teach students where to place their stethoscope for auscultaing lung sounds.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    99 views3 pages

    Lung Sounds Auscultation - 1

    Uploaded by

    George Barajaz
    Handy reference sheet to teach students where to place their stethoscope for auscultaing lung sounds.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    Auscultation

    of Normal Breath Sounds

    Breath sounds are created when air moves in and out the respiratory tract. When you assess breath
    sounds you are assessing the pitch, intensity, quality and duration of the inspiration and expiration. The
    classification of normal breath sounds includes vesicular, bronchovesicular, bronchial, and tracheal.

    Vesicular

    Vesicular breath sounds usually are a low-pitched sound and have a soft quality. You will hear vesicular
    breath sounds from the beginning of inspiration to almost the end of expiration. Therefore, there is not
    usually a pause in this breath sound. You can hear vesicular breath sounds throughout the periphery of
    the lung fields.

    Bronchovesicular

    Bronchovesicular breath sounds are the inspiration and expiration sounds heard. These breath sounds
    will have a pause between inspiration and expiration. They have a moderate pitch. You can usually hear
    this breath sound over the upper portion of the lungs around the 1st and 2nd intercostal spaces.

    Bronchial

    Bronchial breath sounds are a high-pitched sound. The expiration period is longer than the inspiration
    period. You will hear these sounds best next to the trachea.

    Tracheal

    Breath sounds heard over the trachea are tracheal breath sounds. The tracheal breath sounds are high-
    pitched and are loud. The sounds are heard equally during inspiration and expiration.

    Auscultation of Abnormal (Adventitious ) Breath Sounds

    Abnormal breath sounds are called “extra” or “adventitious” breath sounds. Adventitious breath sounds
    include crackles (formerly known as rales), wheezes, rhonchi and friction rubs.

    Air flowing by liquid cause crackles (rales).

    • Crackles can be fine, medium or coarse.


    • Fine crackles are high-pitched crackling or popping sound.
    • Coarse crackles are a low-pitched gurgling sound.
    • These sounds are usually heard during inspiration.
    • Crackles create a dry sound when heard higher in the bronchial tree.
    • Crackles create a wet sound when heard lower in the bronchial tree.
    •
    Air flowing through constricted airways cause wheezes.

    • Wheezes have a high-pitched musical sound.


    • High-pitched wheezes are sibilant.
    • Low-pitched wheezes are sonorous.
    • Heard on inspiration and expiration.
    • Wheezes are continuous.
    • They are unusually bilateral. Wheezes that are unilateral are usually due to an obstruction by a
    foreign object.
    •
    Air flowing over thick secretions cause rhonchi.

    • Rhonchi create a low-pitched sound.


    • They are usually continuous and prolonged.
    • Sibilant or high pitched rhonchi are heard over the smaller bronchi.
    • And, sonorous or low pitched rhonchi are heard over the larger bronchi.
    • It is sometimes hard to distinguish between crackles and rhonchi. Therefore, have the patient
    cough. If it disappears, it is usually rhonchi.

    Inflammation of the pleural space cause friction rubs.

    • A friction rub is not produced inside the airways.


    • Also, friction rubs are a dry, rubbing, crackling sound.
    • Usually caused by inflammation or loss of pleural fluid.
    • You will hear friction rubs during inspiration and expiration
    Locations for Auscultation of Lung Sounds (1-14)

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