1 / 14

Nursing 2220 The Respiratory System Nursing Assessment (Auscultation)

Nursing 2220 The Respiratory System Nursing Assessment (Auscultation). By Ginger VanDenBerg. Respiratory & Auscultation Course Objectives. Discuss upper and lower respiratory anatomy Discuss ventilation versus oxygenation Identify nursing auscultation assessment of the respiratory system

mora
Download Presentation

Nursing 2220 The Respiratory System Nursing Assessment (Auscultation)

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Nursing 2220The Respiratory System Nursing Assessment (Auscultation) By Ginger VanDenBerg

  2. Respiratory & AuscultationCourse Objectives • Discuss upper and lower respiratory anatomy • Discuss ventilation versus oxygenation • Identify nursing auscultation assessment of the respiratory system • Define assessment of normal versus abnormal respiratory sounds

  3. Respiratory AnatomyOverview • Upper Respiratory System -Nasal Cavity -Oral Cavity -Pharnyx

  4. Respiratory AnatomyOverview • Lower Respiratory System -Larnyx (Opening of the trachea) -Trachea (Windpipe) -Lungs (right/left) -Bronchus (divides into right/left) Upper & Lower Respiratory anatomy is consider to be the CONDUCTING portion No Gas Exchange Occurs

  5. Respiratory Anatomy Overview • Terminal Bronchioles (<1mm diameter • Alveolar Ducts • Alveolar Sacs -Actual units of gaseous exchange in lungs Respiratory bronchioles to alveoli is consider to be the Respiratory Portion Gas Exchange does occur

  6. POP Quiz • Structures of the upper airway include all of the following except? • Nasal Cavity • Oral Cavity • Pharnyx • Larnyx

  7. Nursing Auscultation Assessment • Place the diaphragm of your stethoscope over the posterior chest between the ribs • Ask patient to take slow – deep breaths • Listen to an entire inspiration & expiration cycle at each position • Compare the sounds in one region to sounds in the same region on the opposite side • Anterior follows same pattern as posterior, with attention to the lower lobes for increased secretions

  8. Normal Breath SoundsPosterior Thorax Posterior Thorax Sounds • Bronchovesicular– medium pitched blowing sounds, between the scapulae. Equal inspiratory & expiratory phases • Vesicular- heard over the lung periphery, smaller airways, soft & low pitched. Inspiratory phase is about 3x longer than expiratory phase

  9. Normal Breath SoundsAnterior Thorax Anterior Thorax Sounds • Bronchovesicular & vesicular sounds-are heard above & below the clavicles and along the lung periphery • Bronchial-loud, high pitched, hollow sound, heard over the trachea, expiration last longer than inspiration

  10. POP Quiz • During auscultation the nurse compares lung sounds on one side of the body to lung sounds in the same field on the opposite of the body? • True • False

  11. Abnormal Breath Sounds(Adventitious) • Crackles-heard in dependent lobes, lung bases, sudden reinflation of alveoli. Bowl of rice krispies • Ronchi-heard over trachea & bronchi, caused by muscular spasm, fluid or mucus in larger airways, turbulent sound • Wheezes-heard over all lung fields, high-velocity airflow through narrow bronchus • Pleural friction rub-heard over anterior lung surface, parietal pleura rubbing against visceral pleura

  12. Final POP Quiz • The following lungs sounds are considered to be advantitious except? • Crackles • Ronchi • Vescular • Wheezes

  13. The End Questions and Answers Please referred to the our assigned discussion board for questions and answers

  14. References • Nursing Assessing Lung Sounds (n.d.). Retrieved from http://www.barcharts.com/Inventory/Navision/97815722276133. • Potter, P. A., Perry, A. G., Stocker, P. A. & Hall, A. (2010). Basic Nursing (7th ed.), St. Louis, MO: Elsevier Health Science. • Respiratory System (n.d.). Retrieved from http://www.medical/exam-essentials.com/respiratory-system-diagram.html.

More Related