Assessment
Should your patient breathe in through their mouth or nose?
Mouth!
Characteristics of Fine Crackles
- high pitched, short popping sounds heard during inspiration
- does NOT clear with coughing
- air moving into small airway passages
True or false? Geriatric pts have an increased RR
true!
Where are bronchial sounds heard?
over the larynx and trachea
What respiratory complication should you watch for when auscultating lung sounds? (esp with geriatric pts)
Hyperventilation - offer breaks and go at reasonable pace
Characteristics of Course Crackles
- low pitched, bubbling moist sound heard during inspiration and expiration
- air moving through larger bronchi with FLUID
Is lordosis often seen with geriatrics or pediatrics?
Pediatrics! geriatrics are seen with KYPHOSIS
Where are bronchovesicular sounds heard?
over the first and second intercostal spaces
What are you palpating for during a respiratory assessment?
Pain, tenderness, and crepitus
Characteristics of Sibilant Wheezes
- high pitched musical sounds, mostly during expiration
- caused by constricted passages
True or false? Both geriatrics and pediatrics have more use of accessory and diaphragmatic breathing
True!
Where are Vesicular sounds heard?
Over most of the lung fields
Where is best to start your auscultation on a geriatric pt? Or a client with SOB/dyspnea?
At the posterior lower lobes
Characteristics of Sonorous Wheezes
- low pitched snoring or moaning sound primarily on expiration
- may clear with coughing
- often heard with bronchitis
What is an emergency finding during a pediatric respiratory assessment?
Grunting and nasal flaring
Do you listen to lung sounds with the bell or diaphragm of your stethoscope?
diaphragm
On an adult pt, what RR qualifies as tachypnea and bradypnea?
Tachy RR > 24
Brady RR <10
Characteristics of Stridor Wheeze
- harsh, honking wheeze with severe broncho laryngospasm
"normal" RR of a child in late childhood
15-25
Name the lengths of inspiration and expiration for the three normal lung sounds
Bronchial: shorter inspiration, longer expiration
Bronchovesicular: equal inspiration/expiration
Vesicular: longer inspiration, shorter expiration