bedanna.blogg.se - Auscultates adventitious breath sounds

AUSCULTATES ADVENTITIOUS BREATH SOUNDS SKIN
AUSCULTATES ADVENTITIOUS BREATH SOUNDS FULL

Locations auscultated – for example, "anterior, posterior and lateral chest assessed".

Record the findings of chest auscultation in the patient record.

Repeat on the left side noting that there are only two lobes (upper and lower lobe)

To assess the lateral chest start with the upper lobe move to the middle lobe, and finally the lower lobe at the bottom on the right hand side.

Avoid the scapula as lung sounds cannot be heard through bone.

On the back, methodically listen to the apices/upper zone, the mid lung fields and the base of the lungs.

Start with the anterior chest in the Apical zone.

This technique allows you to compare one side of the chest with the other in a systematic manner and detect any asymmetry.

AUSCULTATES ADVENTITIOUS BREATH SOUNDS FULL

On the front and back, listen to breath sounds for a full inspiration/expiration cycle on both sides of the chest at each level.

AUSCULTATES ADVENTITIOUS BREATH SOUNDS SKIN

Place the chest piece of the stethoscope directly on the patient's skin using gentle pressure.Position the ear tips in your ears so they point slightly forward (towards your nose).Warm the chest piece of the stethoscope against your own skin (if cool) to avoid startling the patient.Chest auscultation requires the chest and back to be exposed, so measures should be taken to protect the patient's privacy and dignity. Alert the patient to your intent and gain informed consent.

Ensure your stethoscope has been cleaned and that you are wearing appropriate PPE.However, the patient's clinical condition needs to be considered during the examination and for prone patients, access to the back is difficult, so you may shift your auscultation points to the lateral walls of the chest as close to the back as is practical. The optimal position for chest auscultation is with the patient sitting upright. The bell of the stethoscope is generally used to detect high-pitched sounds such as wheezing in the upper portions of the lung, while the diaphragm is used to detect low-pitched sounds throughout chest. Lower zone: bases (audible on the sides and back).Mid zone: level of the hilar structures (audible on the front, sides and back).Apical zone: just below the clavicles and above the cardiac silhouette (audible on the front and back).