NR 302 HEALTH ASSESSMENT:
HEART, LUNGS, THORAX COMPLTE SOLUTIONS
Lungs/Thorax
Asthma: Lung sounds
Wheezing: air is moving
As asthma progresses, worry more if they’re quiet, because air isn’t moving
Normal findings (auscultation, percussion, etc) of adult
Respiratory Rate: 12- 22 breaths/ min
Want to hear resonance when percussing in a normal patient
No cracking or rales= retaining air
Vesicular and bronchi vesicular (auscultate)
Normal Auscultate lungs= side to side/ top to bottom (top called apex or apices to
bases) (heart= bottom is apex)
Emphysema Patient expectation
*Increased in AP diameter (barrel chest);
*AP=transverse diameter
*will use accessory muscles such as intercostal, neck muscles;
*clubbing in fingers (more than 180);
*decreased breath sounds at bases of lungs
- Clubbing of the nails= enlargement of the ends of the fingers; angles of the
nail bases are greater then 180 degrees
COUGH= Is there anything coming up? Productive (mucous) or non-productive
OLDER ADULT
*normal changes in respiratory= lung lose elasticity (unable to recoil and collapse);
its hard to see their respirations;
Not normal lung sounds: rales (crackles), rhonchi, wheeze
PERCUSS OVER PNEUMONIA:
**If you percuss a patient with pneumonia, it is dullness and not resonance.
HEART, LUNGS, THORAX COMPLTE SOLUTIONS
Lungs/Thorax
Asthma: Lung sounds
Wheezing: air is moving
As asthma progresses, worry more if they’re quiet, because air isn’t moving
Normal findings (auscultation, percussion, etc) of adult
Respiratory Rate: 12- 22 breaths/ min
Want to hear resonance when percussing in a normal patient
No cracking or rales= retaining air
Vesicular and bronchi vesicular (auscultate)
Normal Auscultate lungs= side to side/ top to bottom (top called apex or apices to
bases) (heart= bottom is apex)
Emphysema Patient expectation
*Increased in AP diameter (barrel chest);
*AP=transverse diameter
*will use accessory muscles such as intercostal, neck muscles;
*clubbing in fingers (more than 180);
*decreased breath sounds at bases of lungs
- Clubbing of the nails= enlargement of the ends of the fingers; angles of the
nail bases are greater then 180 degrees
COUGH= Is there anything coming up? Productive (mucous) or non-productive
OLDER ADULT
*normal changes in respiratory= lung lose elasticity (unable to recoil and collapse);
its hard to see their respirations;
Not normal lung sounds: rales (crackles), rhonchi, wheeze
PERCUSS OVER PNEUMONIA:
**If you percuss a patient with pneumonia, it is dullness and not resonance.
