Lung Sounds
Whistling type noise during expiration
Wheezing
How many locations should you put your stethoscope over during the lung exam? (HINT: both sides=1 location)
4
What is the required patient position for the heart exam?
Supine or upper body elevated at 45 degrees
What is the peripheral vascular system composed of?
Arteries and veins
Low-pitched rattling sounds usually due to obstruction
Rhonchi
What is required (position and clothing) for the patient during a lung exam?
Sitting upwards and undressed to the waist
S1
Arteries carry ____ blood ___ from the heart.
Oxygenated; Away
High-pitched crackling/scratchy sounds
Crackles or Rales
How many lung lobes (each side=1) are there and name them?
3: Upper, Lateral, and Lower lobes
Name the heart sound that is heard second and occurs after the short systolic pause.
S2
Veins carry ____ blood ___ from the heart.
Deoxygenated; Back to the heart
Soft and low-pitched; inspiratory phase is longer than expiratory
Vesicular
The intercostal space number correlates to what?
The rib number above it
Name 2 of the 6 anatomical landmarks of the heart
Aortic, Pulmonic, Second pulmonic area, Tricuspid, Mitral, Epigastric
What is considered a normal pulse strength? HINT: number and symbol
Loud and high pitched and sound hollow; expiration lasts longer than inspiration
Bronchial
Name 3 types of imaging that have made percussion less useful during the lung exam?
X-ray, MRI, CT scan
What sound should be heard during normal carotid auscultation?
No sound...trick question!
Describe how to take blood pressure.
DOUBLE JEOPARDY!!!
1) Sitting or supine position
2) Right cuff size and tight
3) Stethoscope over the brachial artery
4) Rapidly inflate to 180 mmHg roughly and moderately release the air
5) Listen with a stethoscope (first knocking sound is systolic bp)
6) Knocking sound dissappears= diastolic