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NUR 265 Exam 2 Study Guide Lungs Physiology  2 Pleural, 1 attached to outside of lungs and 1 attached to inside of ribs.  Space between the 2 pleural is negative to atmosphere  When inhale becomes more positive and atmosphere more negative. Exhaling is passive  Most of lower lobes are posterior, must listen to lungs posteriorly  Breath sounds o Bronchial: High pitched & loud, normal in tracheal & larynx o Bronchovesicular: Moderate pitched & amplitude, normal over major bronchi o Vesicular: Low pitched & soft, like wind through trees, normal in lower lung fields where smaller bronchioles & alveoli are.

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