This document summarizes and describes various adventitious lung sounds that can be heard on auscultation of the lungs. It describes crackles that indicate fluid in the alveoli like in pulmonary edema. It notes rhonchi indicate secretions in the larger airways. Stridor signals an upper airway obstruction like anaphylaxis. Wheezing is described as a musical sound seen in conditions like asthma. Friction rubs occur when the lungs lack space to expand, like in pleuritis or a pleural effusion.
Original Description:
for NCLEX
Original Title
Adventitious Lung Sounds and Problems on Auscultation
This document summarizes and describes various adventitious lung sounds that can be heard on auscultation of the lungs. It describes crackles that indicate fluid in the alveoli like in pulmonary edema. It notes rhonchi indicate secretions in the larger airways. Stridor signals an upper airway obstruction like anaphylaxis. Wheezing is described as a musical sound seen in conditions like asthma. Friction rubs occur when the lungs lack space to expand, like in pleuritis or a pleural effusion.
This document summarizes and describes various adventitious lung sounds that can be heard on auscultation of the lungs. It describes crackles that indicate fluid in the alveoli like in pulmonary edema. It notes rhonchi indicate secretions in the larger airways. Stridor signals an upper airway obstruction like anaphylaxis. Wheezing is described as a musical sound seen in conditions like asthma. Friction rubs occur when the lungs lack space to expand, like in pleuritis or a pleural effusion.
problems on Auscultation Tuesday, June 16, 2020 11:08 AM
• Crackles (Rales) – On Inspiration – not a continuous sound :
• Fluid filled in alveoli ○ Pulmonary edema • Sound like bubbles • Wont be gone with suction because fluid is inside the lung alveoli. • Rx- Diuretics, stop IV Fluids, notify physician, chest physiotherapy • Rhonchi - on expiration – continuous sound- • indicate the presence of secretions in the larger airway • Changes after cough or suctioning • Rx- suctioning, deep breathing, activity, position changes
• Stridor – Priority patient
• Upper airway obstruction • Due to anaphylatic reaction • can hear without stethoscope • Wheezing • Musical sound • In a flue, the sound can be changed bu blocking some holes. Like that, in asthma, some areas are edematous and closed. So the air makes that sound • asthma • Friction rub • The lungs don’t have enough space to expand • Sound similar to when rubbing paper in between fingers • pleural inflammation • Eg, Cardiomegaly, pleuritis, pleural effusion • pleural inflammation • Eg, Cardiomegaly, pleuritis, pleural effusion