Breath sounds

The examiner may hear diminished breath sounds, crackles, wheezes, or pleural friction rub during auscultation of the lungs. 

Pulmonary Normal breath sounds, undergoing tracheal intubation for mechanical ventilation CV ECG shows sinus tachycardia, otherwise normal Abd Within normal limits... 

On auscultation of the lungs, patients may have distant breath sounds, wheezing, a prolonged expiratory phase of respiration, and rhonchi. 

Chest Decreased breath sounds bilaterally air movement decreased no rales or rhonchi... 

Chest Rales and rhonchi R greater than L diminished breath sounds RML and RLL... 

A 73-year-old woman presents to your clinic complaining of difficulty breathing and shortness of breath. Her physical examination reveals that she is alert and oriented x 3, has decreased breath sounds on the left side compared with the right, and has rales in the left lower lobe. Her temperature is 37.4°C, respiratory rate is 20 breaths per minute, and blood pressure is 110/76 mm Hg. 

Breath sounds may be diminished. Rales or rhonci may be heard. 

Lungs Decreased breath sounds on the leftside compared with the right and rales in the left lower lobe... 

Chest Diffuse rhonchi, decreased breath sounds on left. 

Lungs Crackles (rales), consolidation, egophony, absent breath sounds... 

BS Bowel sounds breath sounds blood sugar CVC Central venous catheter... 

A one-year-old male develops decreased breath sounds, and wheezing during a febrile episode, which is relieved by albuterol. What is the mechanism of action of albuterol ... 

Respiratory alkalosis secondary to hyperventilation is usually observed secondary to CNS stimulation of ventilatory centers as a result of trauma, sepsis, or shock. Lung auscultation may reveal crackles (pulmonary edema) or absence of breath sounds (pneumothorax, hemothorax). Chest roentgenogram can confirm early suspicions or disclose an undetected abnormality such as pneumonia (pulmonary infiltrates). Continued insult to the lungs may result in adult respiratory distress syndrome. 

Increased tactile fremitus, whispered pectoriloquy, and egophony Chest wall retractions and grunting respirations Diminished breath sounds over the affected area Inspiratory crackles during lung expansion Chest radiograph... 

Signs include expiratory and inspiratory wheezing on auscultation, dry hacking cough, tachypnea, tachycardia, pallor or cyanosis, and hyperin-flated chest with intercostal and supraclavicular retractions. Breath sounds may be diminished with very severe obstruction. 

Respiratory - Coughing, dyspnea, pulmonary edema (5% or more) abnormal breath sounds, atelectasis, congestion, hypoxia, pharyngitis, pleural effusion, rales, rhinitis (2% to less than 5%). 

Serious, potentially fatal pulmonary toxicity (alveolitis, pulmonary fibrosis, pneumonitis, acute respiratory distress syndrome) may begin with progressive dyspnea and cough with crackles, decreased breath sounds, pleurisy, CH F, or hepatotoxicity. 

Auscultate the patient s breath sounds for crackles, rhonchi, and wheezing... 

For patients being treated for a cough, auscultate the lungs for adventitious breath sounds and increase fluid intake and environmental humidity to decrease the viscosity of lung secretions... 

Breath sounds for signs of a hypersensitivity reaction, such as wheezing... 

Periodically assess breath sounds and check the skin for a rash... 

Cat 4-5 Inhalation 1,000 (endotracheal tube) 10 min Severe dyspnea, anorexia, dehydration, bronchial breath sounds, sonorous and sibulent ronchi, coarse rales. Pulmonary function tests indicated increased LOAEL 1,000... 

Breathing Auscuitate breath sounds in the axiiiae for presence and equaiity. Assess chest for contusions, penetrating wounds, abrasions, or paradoxic movement. 

Chest Obtain respiratory rate reassess breath sounds in anterior lobes for equality. Palpate chest wall and sternum for pain, tenderness, and crepitus. Observe inspiration and expiration for symmetry or paradoxic movement note use of accessory muscles. Reassess apical heart rate for rate, rhythm, and clarity. 

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