Basic lung sound4/2/2024 Inspection during a focused respiratory assessment includes observation of level of consciousness, breathing rate, pattern and effort, skin color, chest configuration, and symmetry of expansion. If the patient is ready to quit, the five successful interventions are the “5 A’s”: Ask, Advise, Assess, Assist, and Arrange.Īsk – Identify and document smoking status for every patient at every visit.Īdvise – In a clear, strong, and personalized manner, urge every user to quit.Īssess – Is the user willing to make a quitting attempt at this time?Īssist – For the patient willing to make a quitting attempt, use counseling and pharmacotherapy to help them quit.Īrrange – Schedule follow-up contact, in person or by telephone, preferably within the first week after the quit date. Have you ever tried to quit smoking/vaping? What strategies gave you the best success?Īre you interested in quitting smoking/vaping? What products do you smoke/vape? If cigarettes are smoked, how many packs a day do you smoke? What have you used to treat the cough? Has it been effective? When you cough, do you bring up anything? What color is the phlegm?ĭo you have any associated symptoms with the cough such as fever, chills, or night sweats?ĭoes anything bring on the cough (such as activity, dust, animals, or change in position)? How does the shortness of breath affect your daily activities? Is the shortness of breath related to a position, like lying down? Do you sleep in a recliner or upright in bed?ĭo you wake up at night feeling short of breath? How many pillows do you sleep on? What makes the shortness of breath go away? How long does the shortness of breath last? Is the shortness of breath associated with chest pain or discomfort? Note: If the shortness of breath is severe or associated with chest pain, discontinue the interview and obtain emergency assistance.Īre you having any shortness of breath now? If yes, please rate the shortness of breath from 0-10 with “0” being none and “10” being severe?ĭoes anything bring on the shortness of breath (such as activity, animals, food, or dust)? If activity causes the shortness of breath, how much exertion is required to bring on the shortness of breath? Have you had any feelings of breathlessness ( dyspnea)? Please identify what you are taking and the purpose of each. Please describe the conditions and treatments.Īre you currently taking any medications, herbs, or supplements for respiratory concerns? Have you ever been diagnosed with a respiratory condition, such as asthma, COPD, pneumonia, or allergies?ĭo you use home respiratory equipment like CPAP, BiPAP, or nebulizer devices? 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).\): Interview Questions for Subjective Assessment of the Respiratory System Interview Questions 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. 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.Bronchovesicular lung sounds: softer than bronchial sounds with a tubular quality.Tracheal lung sounds: harsh, like air in a pipe.Bronchial lung sounds: loud and high-pitched.Students: Educators’ Pro Tips for Tough Topics.Licensed Practical Nurse (LPN) Students.Maternity Nursing and Care of the Childbearing Family.Diversity, Equity, Inclusion, and Belonging.
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