I really having a hard time with breath sounds. Can someone please try to explain to me what I'm hearing. One patient has "gurgling?" on expiration throughout one lung with "crackles?" to the left lower lung. Some say it's fluid like in pneumonia. Someone else said if he were filling with fluid I'd hear nothing. I'm really confused as this is just a little important. Are there any tricks to the different sounds that you could let me in on. Thanks.
Oct 15, '01
This is an elderly man who is failing. I am new to this and we have always been told to just describe the sounds as we hear them. eg: gurgles bubbles etc. Like you say, it's all fluid. Hearing the sounds on the link you sent I suppose they are just all crackles. You say end inspirations, I hear a fairly clear breath on inspiration and the crackles or maybe rubs on expiration. Someone had mentioned that if you hear no breath sounds, they are full of fluid. Maybe I didn't state that right. Lasix and O2 for interventions? I'm in an old folks home and these people are no transfers, so not looking at the technology that you may have in an ICU. I'm so confused. These are my weak spot.
Last edit by stprdi_01 on Oct 15, '01