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RHONCHI LUNG SOUNDS UPPER OR LOWER SKIN

Have the resident say “E” and auscultate to see if it becomes “A”.

Egophony-Provoked auscultation finding.

Diffuse and fine crackles are more typical of pulmonary fibrosis, but can also be present in atypical types of pneumonia These sounds can be focal and coarse in localized areas of pulmonary edema or consolidation in pneumonia.

Crackles-Crackles, or rales, are a scratch sound quality evident when fluid fills up in the alveolar and interstitial spaces.

Diffuse or bilateral wheezes could mean upper airway bronchospastic disease or diffuse multifocal pneumonia Focal or unilateral wheezes typically indicate focal pneumonia.

Wheezes-High frequency whistling noise, very specific to airway narrowing.

Understanding Differences in Lung Sounds:

Droplet precautions: mask, respirator, eye protection gowns, gloves?.

Medications Antivirals, Antibiotics, Breathing treatments, Inhalers.

RHONCHI LUNG SOUNDS UPPER OR LOWER SKIN

Appearance of Nail Beds, lips, mucous membranes, skin.Is it strong spontaneous nonproductive?.Is there use of accessory muscles prolonged expiration.Is Dyspnea present on exertion irregular pattern?.Is there underlying Pulmonary disease Emphysema, COPD, Lung CA, etc.?.Collect and document a detailed Pulmonary History.If COVID-19 disease is suspected as part of the screening process, a thorough respiratory assessment is essential, including careful auscultation to identify residents with a risk of significant lower respiratory illness. COVID-19 can cause Pneumonia and ARDS (Acute Respiratory Distress Syndrome), Severe Acute Respiratory Syndrome (SARS), Acute Respiratory Failure and several other conditions.

There are three types of abnormal bronchial breath sounds: tubular, cavernous, and amphoric. The risk of serious disease and death in COVID-19 cases increases with age. Sounds that emanate from another location may indicate a problem with the lungs.

The exact incubation time is not certain with estimates ranging from 1 to 14 days. Symptoms can include fever, cough, and shortness of breath. People with COVID-19 may have few to no symptoms, although some become severely ill and die. Significantly, residents of nursing homes are at high risk for more severe disease because of age and underlying medical disorders. Nursing facilities face higher risk of transmission due to high population density creating difficulty in maintaining avoidance precautions. Person-to-person spread occurs through contact with infected secretions, mainly via contact with large respiratory droplets, but can also occur via contact with a surface contaminated by respiratory droplets. COVID-19 is an acute, sometimes severe, respiratory illness caused by a novel coronavirus SARS-CoV2.