Took a Peds/Infant assessment class today,.."homework" question,..

[BrnEyedGirl]

Okay guys,.know you hate these questions,..took a Peds/infant assessment class as part of ER orientation,..which is good since I haven't taken care of kids since nursing school,..more than a few years ago,..here's what I'm supposed to ask "experienced nurses"....short and sweet,...define "rales" and "rhonci"??? ,.....perhaps I'm going to get different answers than I'm expecting???

I'm also supposed to find the pediatric doses for fentanyl, demerol and Morphine,..is this a trick question?,..or do I need a peds med book,.because all I can find is IM/SQ doses,..no IV???? Any comments??

[Barbara63]

agree that rales sound like hair rubbing together and rhonci usually clears with coughing...wheezing is different

[DanEMT, ASN, RN]

Rales & thonchi--rales is same as crackles & result of moisture in the alveoli. Sounds like when you rub your hair together next to your ear--sort of like rice crispies in milk. Rhonchi are deep, low pitched "snoring sounds." resulting from large airway obstruction. At least that's what I remember. Both are called adventitious (sp?) breath sounds.

This is about right