Some basic knowedge needed for a lung assessment
Place the bell of the stethescope firmly on the posterior chest wall
Ascultate from the base of the lungs to the apices
Ask the client to breathe deeply through her mouth
Ask the client to breathe normally through her nose
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Asthma
Chronic emphysema
Pleuritis
Bronchitis
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An increase in carbon dioxide in the blood
Low-pitched, bubbling, moist sounds
Difficulty breathing when lying supine
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A "cracking" sensation
Low-pitched snoring or moaning sounds
Markedly sunken sternum and adjacent cartilage
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Low pitch
High pitch
Ausculated over most lung fields
Auscultated over main bronchus area
Ascultated over upper right posterior lung fields
Short on exhilation, long inhalation
Exhalation equals inhalation
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Medium pitch
Exhalation equals inhalation
Loud and long exhalation
Heard over trachea area
Heard over main bronchus area & upper right posterior lung fields
High pitch
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Low pitch
Medium pitch
High pitch
Loud & long exhalation
Short exhalation & long inhalation
Heard over trachea
Heard over most lung fields
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