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Interpretation and assessment of breath sounds for the paramedic

... 4
Breath Sounds: Normal vs. ... 6
Common Causes of Abnormal Breath Sounds     ……………………………………. ... 8
Pneumonia…………………………………………………………………………9
Trauma Related Causes of Abnormal Breath Sounds
     Pneumothorax     ……………………………………………………………………. ... 9
Case Study     ……………………………………………………………………………10
Commonly Prescribed Medications for Respiratory Diseases     ……………………11
     Bronchodilating Medications     ……………………………………………………11
     Anti-Inflammatory Medications     ……………………………………………11
     Oxygen Therapy     ……………………………………………………………12
Conclusion     ……………………………………………………………………………13
References     ……………………………………………………………………………14

Illustrations     ……………………………………………………………………………15


Introduction

     
     It is incredibly important that paramedics in the field be able to properly recognize the presence of abnormal breath sounds. Students who are graduating from a paramedic program need to be aware of the importance that breath sounds play in a diagnosis in the pre hospital setting and the proper treatment that follows. Students should be able to easily recognize one of three factors and ask appropriate history questions to relate it to the other two; Are there abnormal breath sounds? ...

Organizations such as the Lung Association of America and Asthma Association of America provide an enormous amount of relevant literature that is easily accessible for both paramedics and the general public to review on related lung diseases and lung sounds.
This report will review the most commonly heard abnormal breath sounds and the respiratory diseases they often accompany. ...









Breath Sounds: Normal vs. Abnormal

     Breath sounds are defined as the sounds produced by the structures of the lungs during breathing. Breath sounds originate in the large airways where air velocity and turbulence induce vibrations in the airway walls. ... Breath sounds are generally defined according to their location within the lung field, pitch, and inspiratory to expiratory ratio.
     Normal breath sounds include tracheal and vesicular breath sounds, and bronchial and bronchovesicular breath sounds. Abnormal or adventitious breath sounds that will be explored in this section include crackles, pleural rub, stridor, and wheezes.
     It is important for the paramedic to be able to distinguish between these breath sounds upon auscultation for proper pre-hospital diagnosis and treatment. ... It is most obvious on exhalation and sounds like a continuous, high pitched hissing sound. ...



Common Causes of Abnormal Breath Sounds
     
Asthma
Bronchial asthma is a lung disorder characterized by periodic attacks of wheezing alternating with periods of relatively normal breathing. ... The patient will also exhibit signs of shortness of breath, use of accessory muscles when breathing and may cough up sputum. ...
The breath sounds heard by a patient with chronic bronchitis include wheezing and crackles in the lungs. ... Signs and symptoms associated with emphysema include a chronic cough, chronic shortness of breath, and the use of pursed lip breathing. ...
Patients with emphysema will have decreased breath sounds in all fields, wheezing, crackles (rβles), and will have a prolonged exhalation rate. ... Common signs and symptoms include chills, clammy skin, shortness of breath, abdominal and chest pain, fever, and a productive cough that contains green or rust coloured sputum. ... Signs and symptoms include increasing shortness of breath, cyanosis, tracheal deviation, subcutaneous emphysema, and signs of shock.


Approximate Word count = 2329
Approximate Pages = 9.3
(250 words per page double spaced)

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