🫁 Lung Sound Listening Manual

🫁 Lung Sound Listening Guide: Listen as = Assess as

Lung Ausculation

Not just putting headphones on the patient's chest, but "decoding the sound" to screen the pathology quickly, sometimes making decisions before X-ray or CT results.

1️⃣ The "right" lung listening technique.

✔ Use the Diaphragm and Warm sides before listening.

✔, pose the patient, sit upright (if not on the side)

✔ Listen on the skin directly. Do not pass the shirt.

✔ Let the patient breathe deeply through the mouth (I: E 1: 2).

✔ Listen, left-right, relative to the top of the lung → the base of the lung.

✔ Listen, complete one breathing cycle, all positions.

📌 Tip: Young children may hear Bronchovesicular more clearly than usual.

2️⃣ Normal lung sounds. Must be precise.

• Vesicular

🔹 Soft, Light Sound | Most Lung Space

🔹 Breathe in > out → The lungs are working well.

• Bronchovesicular

🔹 Medium Sound | Great Bronze

🔹 In = Out

• Bronchial

🔹 High pitch reverberation | tracheal area

🔹 out. ≥ In. There's a quiet interval.

🎧 Advance:

• Egophony ("E" heard as "A") → Pneumonia

• Bronchophony / Whispered pectoriloquy → Coagulated lung texture

3️⃣ Irregular noise = alarm. 🚨

• Crackles (rustling)

• Early → COPD

• Late → HF / Pneumonia

• Wheeze → bronchial stenosis (Asthma, COPD)

• Rhonchi → Phlegm (often better after coughing)

• Stridor → Emergency upper ⚠️ airway obstruction

• Pleural friction rub → pleurisy

4️⃣ Nurse role when you see a malfunction.

🛏 Pose High Fowler / Tripod

🚩 Meet Stridor / Silent Chest → Instant Doctor Report

💨 Let O ❣ / Sneeze → Reevaluate Every Time

✍️ Example notes:

• Regular: Lung sounds clear bilaterally

• Unusual: Late inspiratory crackles at base, SpO ❣ 91% RA

5️⃣ Beware of pseudo-noise & new technology

⚠️ chills, I rub my headphones, breathe too deep.

🔍 is currently using Lung Ultrasound (POCUS).

• A-lines = normal lungs

• B-lines = lung flooding

✅ Easy to remember

🫁 Listen right → Split the sound into → Link the symptoms → Make a decision early.

A few seconds of lung noise could save a patient's life.

📌 Hashtak on the page.

# NurseShortNote # Listen to the lungs

# LungAuscultation # NursingAssessment

# ClinicalSkills# Abnormal lung sound

# COPD # HeartFailure # Asthma

♪ Nurses need to know ♪ Nurse skills