21.5D: Breathing Patterns

Breathing patterns refer to the respiratory rate, which is defined as the frequency of breaths over a period of time, as well as the amount of air cycled during breathing (tidal volume). Breathing patterns are an important diagnostic criteria for many diseases, including some which involve more than the respiratory system itself.

Characteristics of the Breathing Patterns

The respiratory rate is frequency of breaths over time. The time period is variable, but usually expressed in breaths per minute because it that time period allows for estimation of minute ventilation. During normal breathing, the volume of air cycled through inhalation and exhalation is called tidal volume (VT), and is the amount of air exchanged in a single breath. Tidal volume multiplied by the respiratory rate is minute ventilation, which is one of the most important indicators of lung function. In an average human adult, the average respiratory rate is 12 breaths per minute, with a tidal volume of .5 liters and a minute ventilation of 6 liters per minute, though these numbers vary from person to person. Infants and children have considerably higher respiratory rates than adults.

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Spirometry curve: The normal respiratory rate refers to the cyclical inhalation and exhalation of tidal volume (VT).

The respiratory rate is controlled by involuntary processes of the autonomic nervous system. In particular, the respiratory centers of the medulla and the pons control the overall respiratory rate based on a variety of chemical stimuli from within the body. The hypothalamus can also influence the respiratory rate during emotional and stress responses.

Normal and Altered Breathing Patterns

Eupnea is the term for the normal respiratory rate for an individual at rest. Several other terms describe abnormal breathing patterns that are indicative of symptoms of many diseases, many of which aren’t mainly respiratory diseases. Some of the more common terms for altered breathing patterns include:

These terms all describe an altered breathing pattern through increased or decreased (or stopped) tidal volume or respiratory rate. It is important to distinguish these terms from hyperventilation and hypoventilation, which refer to abnormalities in alveolar gas exchange (and thus blood pH) instead of an altered breathing pattern, but they may be associated with an altered breathing pattern. For example dyspnea or tachypnea often occur together with hyperventilation during anxiety attacks, though not always.

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