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NURSING CARE OF AN ABNORMAL BREATHING 🆒

NURSING CARE OF AN ABNORMAL BREATHING👨‍⚕️
1. Assess and record respiratory rate and depth at least every 4 hours.
👨‍⚕️The average rate of respiration for adults is 10 to 20 B/M. while in childs is 20 to 30 B/M.
It is important to take action when there is an alteration in breathing patterns to detect early signs of compromise on the respiratory system.

2. 👨‍⚕️Assess ABG levels according to facility policy.
This monitors oxygenation and ventilation status. See our Tic-Tac-Toe guide on analyzing ABGs

3. 👨‍⚕️Observe breathing patterns.
Unusual breathing patterns may imply an underlying disease process or dysfunction. Cheyne-Stokes respiration signifies bilateral dysfunction in the deep cerebral or diencephalon related to brain injury or metabolic abnormalities.

Apneusis🩺 and ataxic breathing are related to the failure of the respiratory centers in the pons and medulla. Rates and depths of breathing patterns include:

👨‍⚕️Apnea
Temporary cessation of breathing, especially during sleep.
👨‍⚕️Apneusis
Deep, gasping inspiration with a pause at full inspiration followed by a brief, insufficient release.
👨‍⚕️Ataxic patterns
Complete irregularity of breathing with irregular pauses and increasing periods of apnea.
👨‍⚕️Biot’s respiration
Groups of quick, shallow inspirations followed by regular or irregular periods of apnea (10 to 60 seconds).
👨‍⚕️Bradypnea
Respirations fall below 12 breaths per minute, means lower breathing depending on the age of the patient.
👨‍⚕️Cheyne-Stokes respiration
Progressively deeper and sometimes faster breathing, followed by a gradual decrease that results in apnea. 🌡️The pattern repeats, with each cycle usually taking 30 seconds to 2 minutes.
👨‍⚕️Eupnea
Normal, good, unlabored ventilation, sometimes known as quiet breathing or resting, respiratory rate
👨‍⚕️Hyperventilation
Increased rate and depth of breathing
Kussmaul’s respirations
Deep respirations with fast, normal, or slow rate associated with severe metabolic acidosis, particularly diabetic ketoacidosis (DKA) but also kidney failure.
👨‍⚕️Tachypnea
Rapid, shallow breathing, with more than 24 to above breaths per minute depending on how it suffers👨‍⚕️🌡️💉✍️

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