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How To Use A Stethoscope | Lung & Heart Sounds



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okay so don't get crazy this is purely

for educational purposes hey nurse Pham

and welcome back to the nurse snook so

I'm really excited to do this video for

you guys I'm gonna walk you guys through

how you use your stethoscope if you guys

aren't familiar with it or you just want

to learn some new tips on listening and

auscultate iing heart and lungs sound so

this video is sponsored by Eko

stethoscopes I have it here guys in my

honest I'm sponsored opinion this is the

best stuff is coke I have ever used in

my life I can probably hear your lung

sounds through the camera right now with

this thing so what it is it's it's a

digital stuff escapo this part right

here is the digital part of it and the

cool thing about this is if you have a

stethoscope that you love and you've

been using for a while you can actually

just order this part of the stethoscope

which is the digital part that you can

connect to any regular set the scope to

make it digital so basically what this

part does is it turns a regular cue

stick sound and it amplifies it about 40

times so that you can hear breath lung

and bowel sounds even clearer and

there's even a little dial here that you

can turn it up turn it down whatever is

comfortable for your ears and another

cool thing about this set the scope is

it is actually bluetooth so you can

listen to somebody's heart sound and a

little rhythm will pop up here on your

phone on your smart phone which is

insane they have an app it's called the

eco app it's free to use for you to

download and you can see your rhythm

listening that is insane to me

technology these days is getting like

ridiculous so this battery life lasts

about nine hours of continuous use so

unless you're listening to lung sounds

for nine hours continuously this uh

scope should last you a couple days

charged up so let's get into the video

and let me show you how I use

stethoscope to listen to one in Hudson

okay so let me walk you through the

process of using your sets cope step one

is to choose a quality stethoscope I

don't recommend getting double lumen

stethoscopes that's the one with the two

side by side tubes next to each other I

don't recommend those I don't think

there's a really good quality and the

the sound isn't as good as a single

lumen stethoscope a stethoscope is a

really big investment for your career so

I always recommend putting in the money

because this is going to be something

that you have for a while and it's going

to be a very important part of your

career so go ahead and just invest in a

decent one instead of trying to cut

corners and save money just invest in a

good one another tip I have for you guys

is to engrave your stuff that's go put

your name put your initials put

something that identifies it as yours

because there is some kind of thing

going on in hospitals offices whatever

where if you leave your sub the scope

lying around somebody will take it and

try to claim it as theirs I'm saying

this because that has happened to me

before so please please PLEASE get your

set the Scopes personalized okay so once

you have your quality stethoscope

between patients while you're using your

set this go make sure that y'all clean

this stuff this go clean the earpieces

claims of diaphragm clean the bell clean

everything because you don't know what

kind of journeys you're gonna be putting

on one patient to the next by not

painting your stethoscope in between so

don't put your patients artwork like

that make sure you're cleaning your

soffit scope and for your own safety too

because if this is something that like a

lot of people do and wear around your

neck you don't want to be wearing around

c-diff in tuberculosis and all these

kind of things around your neck so

please just clean your set this goes

actually using this other scopes I'm

gonna start with the ear piece because

this is where a lot of the confusion

starts including myself so when I first

started using my old set the scope I was

like I cannot hear anything like I can't

have paid all this money for this crop

so this got that I can't hear anything I

realized that my ear piece was backwards

so you see how that your piece on this

is pointed more one way than the other

how this is pointing towards the floor

and this way it's pointing towards the

ceiling so you always want to use your

stethoscope pointing towards the front

of your face see my point how it's

pointing to the camera now that is how

you want to use your set the scope and

you want to make sure they're snug in

your ears don't over occlude your ears

but make sure it's also not just hanging

here you want to make sure it's nice and

snug in your ear so you can get a really

good feel and hear really well this is

the wrong way to use it the note that

nosepiece the earpiece is now pointing

towards me and if I put it like this it

is backwards I can't hear anything and

it is uncomfortable it feels like it's

gonna fall out so you know that it's

wrong and when I mean single lumen this

is what I mean

some set of scopes have the double lumen

which is two tube side-by-side but you

want to get one that is single lumen I

always say that those are much better

and then this is the digital part of

sukkah scope and then this is the most

important part of your set of scopes

this is where you listen so this is a

diaphragm it's called the diaphragm and

this has a pediatric side some Oh hold

the cool thing about this set the scope

is it comes with an additional bail

piece so you can unscrew the pediatric

side of it and you screw up you screw on

the bit like so so the bail is really

good for hearing higher pitched noises

and the diaphragm is better for higher

pitched noises don't let me go I'll

you'll see a lot of set of scopes like

this this flat part is what makes it

that diaphragm okay so we're gonna start

off with listening to heart sounds and

this is my anatomical volunteer so I can

show you guys on an actual human where

to listen to heart and lung sounds so

what you're listening for in heart

sounds as a nurse this is really all you

need to know you want to make sure that

you're hearing regular love dub sound so

when you listen to her heart you hear

lub dub lub dub lub dub over and over

again so you want to listen for a full

minute count a heart rate and you also

want to make sure you're not hearing any

irregular rhythms like to love dubs or

that doesn't make sense but if you're

here having extra sounds you know that

this is not right and it needs further

evaluation by a doctor so the mnemonic

that I learned in school to know what

valves are listening to where is all

pigs eat too much a stands for aortic

pious pulmonic E is herbs point t is

tricuspid and the M is the mitral valve

so I'm gonna show you guys on the

volunteer where all those points are

okay so don't get crazy this is purely

for educational purposes so I marked the

points of where you are going to listen

so this is a p/e T mm so this is the

aortic valve that you listen to when you

auscultate this is your pulmonic this is

herbs point this is the tricuspid valve

and the last one right sit up straight

so you can see this is the mitral valve

this is the apex of the heart and the

PMI also known as the point of maximum

impulse and this is where you're going

to hear heart sounds the best so this is

normally in the ER we don't go through

all these points we just hit the main

one and that is the mitral valve so the

mitral valve is a mid clavicular so you

find the clavicle mid clavicular okay so

we're gonna have him listening to his

own heart with and without the digital

part so we can get a reaction from a

true civilian right now it's off sit up

straight

are you able to hear now with the

digital part we can work my awful how's

it sound like somebody got my heartbeat

don't microphone okay so I'm just gonna

show you how I would listen to heart

tone okay so now we're gonna do lung

sounds I'm going to show you lung sounds

from the back so that it's actually 18

points on the back that you listen to

lung sounds

you start lung sound at the apex of the

lungs a lot of people don't know this

but your lungs actually start all the

way up here so if you put yourself a

scope here you can actually hear it lung

sounds and then another important part

hold on this is off another important

part about lung sounds is once you

listen to one point on the lungs you

want to listen to the same point on the

opposite side to compare lungs sound to

make sure they sound even on both sides

this is how you identify new or thoraxes

and identify between which lobes in

which side of the lungs you might hear

crackles or rhonchi or some kind of

irregular sounds well another important

thing about lungs sound is this is more

for documentation purposes and just

knowing what you listening to the right

lung actually has three lobes and the

left lung only has two so in the right

side you're gonna hear an upper lobe a

middle of and a lower lobe on the left

side you're only going to be listening

to an upper and lower lobe and when you

listen to lung sounds you actually want

to go all the way on the sides here so

there's two points on either side wait I

might have gone a little too far but you

get the gist of the idea so I'm going to

show you guys how you listen to the

lungs in deep breath

thank you and while you listen to lung

sounds you want to make sure you listen

through a whole inhale and exhale

alright guys and that is the end of the

video thank you so much for my

anatomical model I hope you guys learned

a little something about listening to

London hard to let me know what you guys

think in the comments below and if you

have any tips or suggestions for myself

or other medical professionals down in

the comments below see you in the next

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