L- Today in lab I learned how to properly place my stethoscope when auscultating the lungs.
E- To prepare us for auscultation of the lungs, Jackie showed us the landmarks used to find the intercostal spaces. Once I found the manubrium, I followed the angle of Louis to find the second intercostal space. I noticed it is imperative the stethoscope is placed between the ribs to hear breath sounds. To begin the process, locate the second intercostal space on one side of Caroline’s chest. Following I asked her to take a deep breath through her mouth, listening to her inhalation and exhalation. Next, I moved directly across Caroline’s chest and followed the same process to listen to both lungs. I palpated to find the inferior intercostal spaces, listening …show more content…
As a result, my plan to identify the intercostal spaces was successful, allowing me to place my stethoscope accurately. I felt I handled the situation appropriately by considering the possible outcomes of inaccurate stethoscope placement. Furthermore, I was also cautious to not cause any pain while palpating. I expected the sounds to be difficult to hear, I was able to easily hear the breaths anteriorly. However, I found it difficult to hear breaths posteriorly. Upon reflection of my lab experienced, the theory introduced helpful landmarks for accurate stethoscope placement. I found that asking the patient to sit up straight and breath through the mouth was most helpful because it produced greater turbulence. In addition, asking the patient to turn their shoulders inward when listening posteriorly moved the scapulae laterally to expose more area of the lungs. Reflecting on my lab experience, I could improve by palpating slower to avoid missing the …show more content…
893). As indicated by the text, an upright position produces more turbulence (Archer & Harvey, 2014, p. 892). When listening to my patient breath it was difficult to hear the breath sound when the patient was not sitting upright. Research furthered my understanding of the proper posture and the possible impact it may have while auscultating. Nevertheless, a patient’s condition may restrict their ability to sit straight up. As a result, minimal turbulence produces quieter breath sounds. In this situation, a quiet surround environment would be beneficial to auscultate. I would implement this suggestion in the clinical setting by asking my patient to sit upright when possible or minimizing environmental
E- To prepare us for auscultation of the lungs, Jackie showed us the landmarks used to find the intercostal spaces. Once I found the manubrium, I followed the angle of Louis to find the second intercostal space. I noticed it is imperative the stethoscope is placed between the ribs to hear breath sounds. To begin the process, locate the second intercostal space on one side of Caroline’s chest. Following I asked her to take a deep breath through her mouth, listening to her inhalation and exhalation. Next, I moved directly across Caroline’s chest and followed the same process to listen to both lungs. I palpated to find the inferior intercostal spaces, listening …show more content…
As a result, my plan to identify the intercostal spaces was successful, allowing me to place my stethoscope accurately. I felt I handled the situation appropriately by considering the possible outcomes of inaccurate stethoscope placement. Furthermore, I was also cautious to not cause any pain while palpating. I expected the sounds to be difficult to hear, I was able to easily hear the breaths anteriorly. However, I found it difficult to hear breaths posteriorly. Upon reflection of my lab experienced, the theory introduced helpful landmarks for accurate stethoscope placement. I found that asking the patient to sit up straight and breath through the mouth was most helpful because it produced greater turbulence. In addition, asking the patient to turn their shoulders inward when listening posteriorly moved the scapulae laterally to expose more area of the lungs. Reflecting on my lab experience, I could improve by palpating slower to avoid missing the …show more content…
893). As indicated by the text, an upright position produces more turbulence (Archer & Harvey, 2014, p. 892). When listening to my patient breath it was difficult to hear the breath sound when the patient was not sitting upright. Research furthered my understanding of the proper posture and the possible impact it may have while auscultating. Nevertheless, a patient’s condition may restrict their ability to sit straight up. As a result, minimal turbulence produces quieter breath sounds. In this situation, a quiet surround environment would be beneficial to auscultate. I would implement this suggestion in the clinical setting by asking my patient to sit upright when possible or minimizing environmental