Sunday, May 19, 2013

'Is That Good?' Understanding Vital Signs

By Jane M. Martin, BA, LRT, CRT, Health Pro Tuesday, February 22, 2011


VS: Breath sounds / Lung sounds
What is it? The sound of the movement of air in and out of your lungs
Equipment:  Stethescope
Acceptable result: “Clear” breath sounds - a soft, but audible airflow, like a gentle breeze.  

“Adventitious” lung sounds are sounds we don’t want to hear - sounds that may indicate obstruction or other problems in the lungs. A few of these are:


Wheezes – High-pitched whistling or squeaky sounds. Can be caused by air flowing through a narrowed, or squeezed, bronchial airway.
Rales – A crackling sound similar to pulling Velcro apart or crushing dry breakfast cereal. Can indicate fluid build-up as in congestive heart failure or other fluid such as from a lung infection. Crackles are commonly heard in people with pulmonary fibrosis, even when they’re stable and feeling well. Crackling sounds may be “normal for them.”
Rhonchi – A distorted airflow sound, akin to a snore or a lower-pitched wheeze, possibly indicating excess mucous in the large or small airways.

I hope this lesson in vital signs helps you have a better understanding of what’s going on with your health. And the next time I check Bill’s vital signs and say something like, “You have an oxygen saturation of 95 percent with a heart rate of 72. Your blood pressure is 110/70 and your breath sounds are clear,” I hope he looks up and smiles, and with confidence says, “That’s good!”

Jane M. Martin is a licensed respiratory therapist, teacher and the founder and director of http://www.Breathingbetterlivingwell.com and author of Breathe Better, Live in Wellness and Live Your Life With COPD, scheduled for release Spring, 2011.

By Jane M. Martin, BA, LRT, CRT, Health Pro— Last Modified: 10/17/12, First Published: 02/22/11