1. Abnormal lung sounds

Abnormal LungSounds

Low pitched or rumbling (like snoring)

Patho: Mucous

Bronchi (not alveoli)

Rhonchi “Rumble”

Disease:Fibrosis (serious mucous)

Treatment:loosen & thin mucus

High pit te”

Treatment:

Patho:

)

Wheezes (Whistle)

AIM

A

M

I

Albuterol

Ipratropium

Methylprednisolone

liquidy bubbling or crackling

Patho:

: Lower lobes (Base of lung, basilary)

Fine crackles = High Pitched (rubbing hair betw gers)

Coarse crackles = Low Pitched (velcro pulled apart)

Crackles (rales) “Crazy Fluid”

Disease: Pulmonary edema s” (with CHF) or Pneumonia ( )

Treatment: ide

Rice

Crispers

Stridor “Serious Squeak!”

Med. Emergency

High-pitched harsh inspiratory whistle

Treatment:

Patho: Blockage in the larynx (voice box) or trachea

(windpipe)

Throat region (during )

Disease:

Low pitched - Dry rubbing (like 2 rocks grinding)

Patho:lungs rubbing together

Front side of lung (during & )

Disease: Worsening pneumonia

Treatment:

breathing - Increase & decrease in RR - seen as Start & Stop breathing

Patho: apnea (stop breathing) leading to

blow o CO2

Cheyne-Stokes

Treatment:

Endotracheal intubation, Surgery