This documentation indicates that the expected sound (vesicular) was heard, specifies where it was heard (majority of the lung fields), notes the absence of any additional (adventitious) sounds, and explicitly mentions some of the specific sounds you listened for but did not hear (wheezing, crackles, rhonchi, stridor). No wheezing, crackles, rhonchi, or stridor.” “Normal vesicular breath sounds heard over the majority of the lung fields. This means that you heard the expected breath sounds and there were no abnormal or extra sounds. If lung sounds are normal, they’re often described as “clear to auscultation bilaterally” or “CTAB” (an abbreviation of the same phrase). When charting normal lung sounds, it’s important to be concise, clear, and descriptive. Vesicular lung sounds: over most lung spacesĬharting normal lung sounds: how to document lung sounds Lungs sounds (normal and abnormal) includes: crackles, wheezes, stridor, pleural friction rub, bronchial, bronchovesicular, vesicular, and auscultation skills.Bronchovesicular lung sounds: in the posterior chest between the scapulae and in the center of the anterior chest. ![]() Bronchial lung sounds: over the large airways in the anterior chest near the second and third intercostal spaces.The different types of lung sounds can be heard best in the following locations: Vesicular lung sounds: soft, blowing, or rustling.In many cases, a first responder or doctor will hear wheezing or crackling sounds coming from the lungs. Numerous medical conditions, both acute and chronic, can cause ARDS. Bronchovesicular lung sounds: softer than bronchial sounds with a tubular quality Lung sounds, also called breath sounds, can be auscultated across the anterior and posterior chest walls with a stethoscope. Acute respiratory distress syndrome (ARDS) occurs when blood oxygen levels drop too low because of fluid accumulating in the lungs.This means you may not be getting enough air into your lungs. Tracheal lung sounds: harsh, like air in a pipe Sometimes, even with a stethoscope, your healthcare provider may have trouble hearing lung sounds as you breathe.Bronchial lung sounds: loud and high-pitched.Students: Educators’ Pro Tips for Tough Topics. ![]() Licensed Practical Nurse (LPN) Students.Similar to documentation for other body systems, the more specific you can be about where a respiratory abnormality lies, and the quality of the abnormality itself, the better. Normal breath sounds, recorded at left upper sternal border. Resonance is normal upon percussion of all lung fields. Recording made with a Thinklabs One Digital Stethoscope. Maternity Nursing and Care of the Childbearing Family Lung sounds are clear in all lobes bilaterally without rales, ronchi, or wheezes. Adventitious sounds are the medical term for respiratory noises beyond that of normal breath sounds. ![]()
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