Measuring respiratory rate is a fundamental skill of nursing. There are still many errors recorded in monitoring and assessing the patient’s respiratory rate. This article discusses the importance of respiratory rate in terms of clinical outcomes, patient monitoring, and documentation.
Patients and the Board of Nursing and Obstetrics expect nurses to use their knowledge and skills to identify when patients are ill and act on the information they receive. Respiratory rate is part of an overall assessment of the patient and careful monitoring should be performed if changes in respiratory rate are outside the patient’s normal range. It is invasive and beneficial, and the abnormalities in respiratory rate have been shown to indicate the patient’s impairment and need to be treated appropriately. However, the evidence suggests that nurses may not be able to use the correct respiratory rate.
Respiratory rate changes and disruptions are not only linked to respiratory complications, but they are also a sign that a patient is unable to retain the body environment. Respiratory rate is a very good indicator of early physiological conditions, such as hypoxia. (Low levels of oxygen in the cells) high cholesterol in the blood. (High levels of carbon dioxide in the bloodstream), metabolism and respiratory acidosis
Respiratory rate has been found in experiments to be a strong and definitive marker of incidents like unexpected intensive care cardiac arrest. Dougherty and Lister in 2015 said that breathing rate could help identify. The patient’s deterioration assesses the response to treatment and helps determine when additional care is needed by the patient. The actions taken when the indicators indicate the patient’s condition improve the patient’s outcomes and the evidence indicates that breathing rate is the first vital sign changing in the presence of physical problems.
Breathing anatomy and physiology
Natural breathing is a daily procedure that includes even chest contraction and relaxation. It is often an unconscious operation. The medulla oblongata and pons are the primary respiratory centers, and they are in charge of monitoring breathing rate and depth. Alveolar ventilation is caused by the combination of tidal volume (the amount of air exchanged between inhalation and exhalation) and respiratory rate.
One breath with each passage of air in and out of the lungs is known as respiratory velocity, or the amount of breaths per minute. In general, an adult’s respiratory rate ranges from 12 to 20 breaths per minute, although this varies based on age and medical condition. The need for oxygen is shown by a decrease or increase in breathing rate.
The need for more or less oxygen in the body is shown by a rise or decrease in respiratory rate. A breathing rate of more than 25 breaths per minute, or an increasing respiratory rate, is considered to be a sign that a patient is failing. A lower respiratory rate of 8 or less breaths per minute is also recommended.
Patient worsening is often indicated by a decrease in respiratory rate to 8 or less breaths per minute. The importance of this analysis ought not to be overlooked, since inadequate breathing has a negative impact on successful gas exchange.
How to use a breathing rate monitor to spot changes in health
Since the body responds by attempting to maintain the proper amount of oxygen to the tissues, an increase in respiratory rate indicates that a patient is getting ill. Patients may experience a negative clinical outcome if early symptoms of deterioration are not recognized.
Looking at the outcomes of a group of patients and found that if the respiratory rate had been used as a key for predicting early decline, the patients’ outcomes would have been better. There is also evidence that early identification and recording of vital sign monitoring, especially respiratory rate, may aid in the detection of respiratory failure, which is a primary explanation for admissibility.
Admission to high-dependency and intensive care units is a common occurrence. Breathing rate monitor has also been found in studies to better predict patients who are at high risk of cardiac arrest.