10.02 Breath Sounds for CCRN Review

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Laura Gasparis Vonfrolio
PhD,RN,CCRN
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Outline

Overview

  1. Breath sounds by “Normal” location
    1. Bronchial → over the trachea
      1. Heard on exhalation
      2. Harsh
      3. If heard in another area other than trachea = not normal
    2. Bronchovesicular → Right and left bronchi
      1. Heard equal on right and left on inhalation and exhalation
      2. Softer than bronchial
      3. If heard in another area other than bronchi = not normal
    3. Vesicular → Lung lobes
      1. On inspiration
      2. If heard in another area other than lung lobes = not normal
  2. Pneumonia
    1. Aerated tissue turns semi solid → continuous noise
      1. Bronchial breath sounds over the lungs
        1. Abnormal because bronchial breath sounds are normal at the trachea
      2. Dull percussion
      3. Increased fremitus
    2. Rhonchi
      1. Heard on inspiration and exhalation
      2. Rumbling

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654 Exam 2

Concepts Covered:

  • Noninfectious Respiratory Disorder
  • Vascular Disorders
  • Respiratory Disorders
  • Cardiac Disorders
  • Cardiovascular
  • Oncology Disorders
  • Emergency Care of the Cardiac Patient
  • Circulatory System
  • Infectious Respiratory Disorder
  • Respiratory System
  • Respiratory Emergencies
  • Cardiovascular Disorders
  • Respiratory
  • Infectious Disease Disorders

Study Plan Lessons

Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Echocardiogram (Cardiac Echo)
Pulmonary Function Test
Lung Diseases Module Intro
02.02 Cardiomyopathy for CCRN Review
Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Lung Cancer
02.06 Heart Murmurs for CCRN Review
Nursing Care and Pathophysiology for Pulmonary Edema
Thorax and Lungs Assessment
02.08 Cardiac Catheterization & Acute Coronary Syndrome for CCRN Review
02.09 12 Lead EKG- Leads 1, 2, 3, aVL, and aVF for CCRN Review
02.10 12 Lead EKG- Lead V1-V6 for CCRN Review
02.12 Myocardial Infarction- Inferior Wall for CCRN Review
02.13 Myocardial Infarction – Anterior Septal Wall for CCRN Review
Respiratory Infections Module Intro
Respiratory Structure & Function
Oxygen Delivery Module Intro
Nursing Care and Pathophysiology for Pulmonary Embolism
Blood Vessels
Acute Bronchitis
Pneumonia
Asthma
Respiratory Structure & Function
Breathing Movements
Defects of Increased Pulmonary Blood Flow
10.02 Breath Sounds for CCRN Review
Influenza – Flu
Asthma Concept Map
Bronchiolitis and Respiratory Syncytial Virus (RSV)
Congestive Heart Failure Concept Map
COPD (Chronic Obstructive Pulmonary Disease) Labs
Hematocrit (Hct) Lab Values
Hemoglobin (Hbg) Lab Values
Lung Sounds
Nursing Care and Pathophysiology for Asthma
Nursing Care and Pathophysiology for Influenza (Flu)
Nursing Care and Pathophysiology for Tuberculosis (TB)
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
Nursing Care and Pathophysiology of Pneumonia
Asthma
Pediatric Bronchiolitis Labs
Pertussis – Whooping Cough
Pneumonia Concept Map
Pneumonia Labs