Then find C7 (which is the vertebral prominence) and go to T3…in between the shoulder blades and spine. Start right above the scapulae to listen to the apex of the lungs. Note: within these landmarks move your stethoscope around to assess other areas as well. Then midaxillary at the 6th intercostal space you will be assessing the right and left lower lobes. Then move to the 2nd intercostal space to assess the right and left upper lobes.Īt the 4th intercostal space you will be assessing the right middle lobe and the left upper lobe. Start at: the apex of the lung which is right above the clavicle Allow the patient to set the pace to prevent hyperventilating, especially patients with breathing disorders like COPD. Have patient breathe in and out through mouth slowly while listening.Use the diaphragm of the stethoscope to auscultate at various locations (see images below). When listening to the posterior side of the chest the arms need to definitely be in the lap so the scapulae are separated. Have the patient sitting up with arms resting on lap.For example, are you hearing crackles or wheezes? Ask yourself is there anything “weird” heard along with the inspiration and expiration.The inspiration and expiration sound’s pitch, quality, duration, and if it is normal sounding.A full inspiration and expiration cycle.Start at the top and work your way to the bottom of the chest while comparing sides (watch the video for the technique).Listen to both the anterior and posterior sides of the chest.You can get an eBook version here or a physical copy of the book here. These notes contain 64 pages of Nurse Sarah’s illustrated, fun notes with mnemonics, and worksheets that include over 90 ABG practice problems and 60 test review questions covering ABG concepts. Just released is “ ABG Interpretation Notes, Mnemonics, and Workbook by Nurse Sarah“. So, after you read this article be sure to watch the video and read the highlights on how to perform this assessment skill as well.ĭon’t forget to take the lung sounds quiz which will test you on lung auscultation landmarks and audio sounds. In the previous review, I covered how to assess heart sounds.
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