Could interfere with an accurate assessment a press

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could interfere with an accurate assessment. a. Press the diaphragm of the stethoscope firmly against the skin. b. Listen to a full inspiration and full expiration at each site in the sequence shown. c. .Compare sound variations from one side to the other d. Document Bronchial- loud and high-pitched sounds with a hollow quality heard longer on expiration than inspiration from air moving through the trachea Bronchovesicular- medium- pitched and blowing sounds heard equally on inspiration & expiration from air moving through the large airways, posteriorly between the scapula & anteriorly over bronchioles lateral to the sternum at the 1 ST and 2 ND ICS Vesicular - soft, breezy, and low- pitched sounds heard longer on inspiration than expiration that result from air moving through the smaller airways over the lung’s periphery, with the exception of the scapular area Abnormal breath sounds are characterized by decreased or absent sounds. Crackles- an interrupted fine crackle (dry, high-pitched crackling, popping sound of short duration) that sounds like a piece of hair being rolled between the fingers in front of the ear or a coarse crackle (moist, low-pitched crackling, gurgling sound of long duration) that sounds like water going down the drain after the plug has been pulled on a full tub of water Rhonchi- heard predominantly on expiration over the trachea and bronchi as a continuous, low-
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  • Fall '19

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