How To Use A Stethoscope Lung Heart Sounds

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 one