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Table 4-8
Abnormalities in rate and rhythm of breathing
8
Medical
Graduate
10/04/2011

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Term
Normal breathing
Definition
The respiratory rate is about 14-20 per min in normal adults and up to 44 per min in infants
Term
Slow Breathing (Bradypnea)
Definition
Slow breathing may be secondary to such causes as diabetic coma, drug-induced respiratory depression, and increased intracranial pressure.
Term
Sighing Respiration
Definition
Breathing punctuated by frequent signs should alert you to the possibility of hyperventilation syndrome- a common cause of dyspnea and dizziness. Occasional sighs are normal.
Term
Rapid shallow breathing (Tachypnea)
Definition
 has a number of causes, including restrictive lung disease, pleuritic chest pain, and elevated diaphragm.
Term
Cheyne-Stokes breathing
Definition
Periods of deep breathing alternate with periods of apnea (no breathing). Children and aging people normally may show this pattern in sleep. Other causes include heart failure, uremia, drug-induced respiratory depression and brain damage (typically on both sides of the cerebral hemispheres or diencephalon.)
Term
Obstructive Breathing
Definition
In obstructive lung disease, expiration is prolonged because narrowed airways increase the resistance to air flow. Causes include asthma, chronic bronchitis and COPD.
Term
Rapid deep breathing (Hyperpnea, Hyperventilation)
Definition
 has several cause, including exercise, anxiety, and metabolic acidosis. In the comatose pt, consider infarction, hypoxia or hypoglycemia affecting the midbrain or pons. Kussmaul breathing is deep breathing due to metabolic acidosis. In may be fast, normal in rate or slow.
Term
Ataxic breathing (Biot's breathing)
Definition
 characterized by unpredictable irregularity. Breaths may be shallow or deep, and stop for short periods. Causes include respiratory depression and brain damage, typically at the medullary level.
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