... A patient with orthopnea is able to breathe without significant subjective difficulty in the sitting or upright position but almost invariably develops shortness of breath in the recumbent position. This
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Is there excessive snoring? Excessive snoring would indicate obstructive sleep apnea from large tonsils, deviated nasal septum, cleft palate, other ... DIAGNOSTIC WORKUP
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Paroxysmal nocturnal dyspnea is defined as severe difficulty breathing or air hunger that awakens the patient from sleep (usually 1–3 hours after lying down) and forces them to a sitting or standing position. The patient may gasp and... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Orthopnea is defined as difficulty breathing (dyspnea) while in the recumbent position. The dyspnea is due to increased venous return to the lungs while recumbent, resulting in increased pulmonary venous and... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Apnea is defined as the cessation of breathing; how long a pause is physiologically significant depends on age. History will often be more helpful than physical exam. Central apnea refers to a lack of... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... Dyspnea is the subjective feeling of rapid or difficult breathing. The patient will often say, “I can’t get my breath!” Tachypnea is the objective finding of a rapid respiratory rate and may or
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... Nurses frequently become distressed and summon the intern during the night about these signs. Cheyne–Stokes respirations are a frequent source of bewilderment because they may occur at times with no direct evidence of damage to
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... The differential diagnosis of sleep apnea may be arrived at by utilizing both physiology and anatomy. Normal sleep requires an unobstructed pathway from the nasopharynx to the lung and an intact
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... Characterized by a harsh, rattling, or snoring sound, stertorous respirations usually result from the vibration of relaxed oropharyngeal structures during sleep or coma,... Emergency interventions ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers
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Apnea
(Handbook of Signs & Symptoms (Third Edition))
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... Apnea, the cessation of spontaneous respiration, is occasionally temporary and self-limiting, as occurs during Cheyne-Stokes and Biot’s respirations. More commonly, however, it’s a life-threatening emergency that... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pictures
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... Commonly preceding life-threatening apnea or respiratory arrest, bradypnea is a pattern of regular respirations with a rate of fewer than 10 breaths/minute. This sign results from neurologic and metabolic disorders and drug overdose,... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pictures
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... Hyperpnea indicates increased respiratory effort for a sustained period — a normal rate (at least 12 breaths/minute) with increased depth (a tidal volume greater than 7.5 ml/kg), an... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pictures
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... Typically dramatic and terrifying to the patient, this sign refers to an attack of dyspnea that abruptly awakens the patient. Common findings include diaphoresis, coughing, wheezing, and chest discomfort... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers
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... Orthopnea — difficulty breathing in the supine position — is a common symptom of cardiopulmonary disorders that produce dyspnea. It’s usually a subtle symptom; the patient may complain that he... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers
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... Characterized by a harsh, rattling, or snoring sound, stertorous respirations usually result from the vibration of relaxed oropharyngeal structures during sleep or coma, causing partial... Emergency interventions ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers
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Apnea
(Professional Guide to Signs & Symptoms (Fifth Edition))
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... Apnea, the cessation of spontaneous respiration, is occasionally temporary and self-limiting, as in Cheyne-Stokes and Biot’s respirations. In most cases, though, it’s a... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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Bradypnea
(Professional Guide to Signs & Symptoms (Fifth Edition))
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... Commonly preceding life-threatening apnea or respiratory arrest, bradypnea is a pattern of regular respirations with a rate of fewer than 10 breaths/minute. This sign may result... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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Hyperpnea
(Professional Guide to Signs & Symptoms (Fifth Edition))
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... Hyperpnea indicates increased respiratory effort for a sustained period—a normal rate (at least 12 breaths/minute) with increased depth (a tidal volume greater than 7.5 ml/kg... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures
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... Typically dramatic and terrifying to the patient, this sign refers to an attack of dyspnea that abruptly awakens the patient. Common findings include diaphoresis, coughing, wheezing, and chest discomfort.... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers
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Orthopnea
(Professional Guide to Signs & Symptoms (Fifth Edition))
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... Orthopnea—difficulty breathing in the supine position—is a common symptom of cardiopulmonary disorders that produce dyspnea. It’s often a subtle symptom; the patient may complain that he can’t catch his breath... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling
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... Characterized by a harsh, rattling, or snoring sound, stertorous respirations usually result from the vibration of relaxed oropharyngeal structures during sleep or coma, causing partial... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
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Apnea
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
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... Apnea is the cessation of spontaneous respiration and is usually a life-threatening emergency that requires immediate intervention to prevent death. It may occur as a temporary and self... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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Bradypnea
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
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... Commonly preceding life-threatening apnea or respiratory arrest, bradypnea is a pattern of regular respirations with a rate of less than 10 breaths/minute. This sign results from neurologic and metabolic disorders and drug... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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Hyperpnea
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
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... Hyperpnea indicates increased respiratory effort for a sustained period — a normal rate (at least 12 breaths/minute) with increased depth (a tidal volume greater than 7.5... Assessment ... History ... Physical examination ... Pediatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... Characterized by a harsh, rattling, or snoring sound, stertorous respirations usually result from the vibration of relaxed oropharyngeal structures during sleep or coma, causing partial... Emergency Actions ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Commonly preceding life-threatening apnea or respiratory arrest, bradypnea is a pattern of regular respirations with a rate of less than 10 breaths/minute. This sign results from neurologic and... Emergency Actions ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... The typical patient with hyperpnea breathes at a normal or increased rate and inhales deeply, displaying marked chest expansion. He may complain of shortness of breath if a respiratory disorder is... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Orthopnea — difficulty breathing in the supine position — is a common symptom of cardiopulmonary disorders that produce dyspnea. In many patients, it’s a subtle symptom; the patient may complain that... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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...Signs of respiratory distress include tachypnea,dyspnea, nasal flaring, grunting, retractions, and cyanosis. Apneais an extreme form of respiratory distress. Respiratory distress(neonatal and postneonatal) is... Principal Causes of Respiratory Distress (Neonatal) ... Clinical Features and Diagnosis: Respiratory Distress (Neonatal) ... Principal Causes of Respiratory Distress (Postneonatal) ... Clinical Features and Diagnosis: Respiratory Distress (Postneonatal) ... Diagnostic Approach: Respiratory Distress ... Principal Causes of Apnea ... Clinical Features and Diagnosis: Apnea ... Diagnostic Approach: Apnea ... References
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... Characterized by a harsh, rattling, or snoring sound, stertorous respirations usually result from the vibration of relaxed oropharyngeal structures during sleep or coma, causing partial airway obstruction.... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
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... Apnea, the cessation of spontaneous respiration, is occasionally temporary and self-limiting, as occurs during Cheyne-Stokes and Biot's respirations. More commonly, it's a life-threatening emergency that requires immediate intervention to... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... Commonly preceding life-threatening apnea or respiratory arrest, bradypnea is a pattern of regular respirations with a rate of fewer than 10 breaths/minute. This sign results from neurologic and metabolic disorders and drug overdose,... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... Hyperpnea indicates increased respiratory effort for a sustained period—a normal rate (at least 12 breaths/minute) with increased depth (a tidal volume greater than 7.5 ml/kg), an increased rate (more than 20 breaths/minute)... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... Typically dramatic and terrifying to the patient, this sign refers to an attack of dyspnea that abruptly awakens the patient. Common findings include diaphoresis, coughing, wheezing, and chest... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching
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... Orthopnea—difficulty breathing in the supine position—is a common symptom of cardiopulmonary disorders that produce dyspnea. It's usually a subtle symptom; the patient may complain that he can... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching
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Nurses frequently become distressed and summon the intern during the
night about these signs. Cheyne–Stokes respirations are a frequent source
of bewilderment because... Pictures
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...
The differential diagnosis of sleep apnea may be arrived at by
utilizing both physiology and anatomy. Normal sleep
requires an unobstructed... Pictures
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...
Dyspnea is the subjective feeling of rapid or difficult
breathing. The patient will often say, “I can’t get my breath!”
Tachypnea is the objective finding of a rapid... Pictures
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