Auscultation Skills: Breath and Heart Sounds 5/e

Practitioners and students: see and hear breath and heart sounds with remarkable clarity while perfecting your
auscultation technique.

Auscultation Skills: Breath & Heart Sounds, Fifth Edition, pinpoints exactly how, where, and why breath and heart
sounds occur and helps you to differentiate normal from abnormal sounds quickly and accurately. Loaded with clear
explanations, colorful illustrations, and linked to online audio cues, this sensational reference spans the simple to
the complex and serves as an excellent tool for beginning practitioners and seasoned clinicians who are looking to hone
their diagnostic skills and improve their auscultation technique.

This compact, practical book will improve your ability to auscultate for heart and breath sounds, and enhance your
understanding of their physiology. Throughout, the book references corresponding tracks on the accompanying website,
enabling users to listen to the sounds immediately after reading about the anatomical and physiologic changes
associated with the sounds.

With full coverage of heart and breath sounds from the simple to the complex this comprehensive text explains heart and
breath sound fundamentals including basic anatomy and physiology, best auscultation locations, tips on how to identify
each sound, and what to document during a physical examination. Auscultation Skills: Breath & Heart Sounds, Fifth
Edition offers practicing nurses, nurse practitioners, and physician assistants a solid basis for recognizing and
differentiating among abnormal breath and heart sounds to help them accurately interpret what they hear and then apply
that knowledge toward a proper diagnosis and treatment regimen.


Table Of Contents




ONE Heart sound fundamentals



1 THE HEART AND AUSCULTATION

Pretest, Anatomy and physiology, Traditional auscultatory areas, Alternative auscultatory areas, Auscultatory
techniques, Enhancement techniques, Posttest



2 HEART SOUND DYNAMICS

Pretest, Heart sound origins, Basic heart sounds, Depolarization and repolarization, Documenting heart sounds, Posttest



TWO Normal heart sounds



3 THE FIRST HEART SOUND

Pretest, Normal S1, Abnormal S1 split, Posttest



4 THE SECOND HEART SOUND

Pretest, Normal S2, S2 split sounds, Posttest



5 THE THIRD AND FOURTH HEART SOUNDS

Pretest, Ventricular filling sounds, Third heart sound, Fourth heart sound, S3 and S4: Similarities and differences,
Posttest



THREE Abnormal heart sounds



6 OTHER DIASTOLIC AND SYSTOLIC SOUNDS

Pretest, Opening snaps, Systolic ejection sounds, Posttest



7 MURMUR FUNDAMENTALS

Pretest, Turbulent blood flow, Characteristics, Posttest



8 SYSTOLIC MURMURS

Pretest, Anatomy and physiology, Systolic ejection murmurs, Ventricular outflow obstruction murmurs, Systolic
regurgitation murmurs, Ventricular septal defect murmur, Posttest



9 DIASTOLIC MURMURS

Pretest, Anatomy and physiology, Aortic regurgitation murmurs, Pulmonic regurgitation murmurs, Other diastolic murmurs,
Posttest



10 CONTINUOUS MURMURS

Pretest, Two causes, Cervical venous hum murmurs, Patent ductus arteriosus murmurs, Posttest



11 OTHER AUSCULTATORY SOUNDS

Pretest, Prosthetic valve sounds and murmurs, Aortic prosthetic valves, Mitral prosthetic valves, Pericardial friction
rubs, Mediastinal crunch, Posttest



FOUR Breath sound fundamentals

12 THE RESPIRATORY SYSTEM AND AUSCULTATION

Pretest, Anatomy and physiology, The mechanics of breathing, Auscultatory areas, Auscultatory techniques, Posttest



13 INTRODUCTION TO BREATH SOUNDS

Pretest, Breath sound production, Terminology, Documenting auscultation findings, Posttest



FIVE Normal breath sounds



14 BREATH SOUNDS HEARD IN HEALTHY INDIVIDUALS

Pretest, Anatomy and physiology, Posttest



SIX Abnormal breath sounds



15 BRONCHIAL BREATH SOUNDS

Pretest, Sound production, Posttest



16 ABNORMAL VOICE SOUNDS

Pretest, Sound production, Posttest



17 ABSENT AND DIMINISHED BREATH SOUNDS

Pretest, Sound production, Posttest



SEVEN Other abnormal breath sounds



18 CLASSIFYING ADVENTITIOUS SOUNDS

Pretest, Confusion over terminology, Current classification system, Posttest



19 ADVENTITIOUS SOUNDS: CRACKLES

Pretest, Sound production, Documentation, Late inspiratory crackles, Early inspiratory and expiratory crackles, Pleural
crackles, Posttest



20 ADVENTITIOUS SOUNDS: WHEEZES

Pretest, Sound production, Expiratory polyphonic wheezes, Fixed monophonic wheezes, Sequential inspiratory wheezes,
Random monophonic wheezes, Stridor, Posttest



Auscultation findings for common disorders



Assessment flowcharts for common auscultation findings



English-Spanish phrases used in cardiac and respiratory assessment



Posttest answers



Selected readings



Glossary



Index