Respirations ØOne respiration consists of one inspiration and one expiration ØAbbreviated=R or RR ØCan be counted by observing chest movement or auscultating ØAssess rate, character, and rhythm of respirations
Respiratory Rate ØNumber of breaths per minute ØAdult normal=12 – 20 breaths per minute ØRR decreases as a person increases in size and age
Respiratory Character &Rhythm ØCharacter=depth and quality of respirations ØDeep, shallow, labored, difficult, moist ØRhythm=regularity of respirations or equal spacing between breaths ØRegular or irregular
Respirations ØPt should not be aware you are counting their RR ØCount RR for 1 full minute ØRecord the rate, character, and rhythm example: R 16 deep and regular R 12 shallow and irregular
Abnormal Respirations ØDyspnea=difficult or labored breathing ØApnea=absence of respirations, usually a temporary period of no respirations ØOrthopnea=severe dyspnea in which breathing is very difficult in any position other than sitting erect or standing
Abnormal Respirations ØTachypnea=rapid, shallow RR; >25 respirations per minute ØBradypnea=slow RR; <10 respirations per minute ØCheyne-Stokes=abnormal breathing pattern; period of dyspnea and apnea
Abnormal Respirations ØRales=bubbling or noisy sounds caused by fluids or mucus ØWheezing=high pitched whistling during expiration ØCyanosis=bluish discoloration of skin, lips, and/or nail beds