Does anyone have a problem with hearing heart sounds?

  1. I feel as though ill never understand how to do this - along with abnormal lung sounds as well

    for example, if one of my pts has a problem with their lungs and i listen but i just cant seem to tell if its abnormal or acutally normal sounds...am i the only student that has this problem?
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  2. 10 Comments

  3. by   iHeartNICU
    I totally have that problem too and thought I was the only one. Lung & heart sounds are both super important and I really don't want to screw that up but I am having trouble with it. BTW, I just finished my 2nd semester/4. I feel like I should have this down.
    Amy
    Last edit by iHeartNICU on Dec 12, '06 : Reason: spelling error
  4. by   student456
    lol i swear im going deaf or something hehe because whenever i listen to a pt's lungs with pneumonia i cant hear crackles. Im in 3/8 semesters but i still cant seem to get it and everyone else just seems so confident and i feel like i dont know how to do anything
  5. by   RN BSN 2009
    Try listening to heart and lung sounds on everybody you can!
  6. by   nurseangel47
    there're tapes out there you can buy/borrow also on these sounds...they are a bit tricky until you listen to the extra loud ones on the tapes. They are extra pronounced and it is very readily apparent when it is an abnormal sound...the tapes also explain in detail how the sound is different than norms and what each one means....
  7. by   rninme
    Buy a good stethoscope! It makes a world of difference in what you hear.
  8. by   sirI
    check out this thread in the ccu forum. links for heart/breath sounds are found here:

    [font='times new roman'][font='times new roman']helpful information for the unit

    repetition is key. there are stethoscopes designed for those with hearing issues, too.
    [font='times new roman'][font='times new roman']
    [font='times new roman'][font='times new roman']
  9. by   wjf00
    I had this problem in nursing school, but now I can pick up even the faintest murmurs.
    I would advise you start with a very good stethescope. ie:if it looks great with your favorite scrub top but you can't hear a thing, you may need to invest in a better one.
    Another strategy is to listen to EVERYONES heart sounds and breath sounds. Listen to other students and family members with no diagnosed heart/lung issues, as well as Pt's who are diagnosed with heart murmurs. This gives you a baseline of normal to contrast with the abnormal sounds you hear. Then keep listening, listen intently, and linger a little longer until you can identify what it is you are hearing. It simply takes practice and experience. Keep at it, and you will get it.
  10. by   muffie
    rub the hair behind your ear between your thumb and index finger
    that's what fine crackles sound like
  11. by   muffie
    and definitely ask the floor nurses if they can recommend any pts with interesting lung/heart sounds
  12. by   student456
    thanks - all very helpful tips to consider

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