Auscultate lung sounds. Initiate and maintain IV access. Place the client in shock position (on back with legs elevated). Fluid replacement - Administer IV fluids as prescribed (isotonic solutions, such as lactated Ringer's, normal saline, blood transfusions). Monitor intake and output.
A lesson on rales (crackles) sounds is included in our free Basics of Lung Sounds course. We suggest taking the full course (about 15-20 minutes), but the two rales lessons on fine and coarse crackles can be used without the full course.
Rhonchi Definition Rhonchi are continuous low pitched, rattling lung sounds that often resemble snoring. Obstruction or secretions in larger airways are frequent causes of rhonchi. They can be heard in patients with chronic obstructive pulmonary disease (COPD), bronchiectasis, pneumonia, chronic bronchitis, or cystic fibrosis.
Lung sounds, also called breath sounds, can be auscultated across the anterior and posterior chest walls with a stethoscope. Adventitious lung sounds are referenced as crackles (rales), wheezes (rhonchi), stridor and pleural rubs as well as voiced sounds that include egophony, bronchophony and whispered pectoriloquy.
High-pitched breath sounds are often classified as wheezing. The sounds made are often described as having a musical or squeaky quality to them. It may sound like a person is whistling when breathing. While high-pitched wheezing most often occurs when breathing out, it can also sometimes occur when breathing in.