What is the term for the breathing pattern in which the depth of breathing increases?

A normal breathing rate for an adult at rest is 8 to 16 breaths per minute. For an infant, a normal rate is up to 44 breaths per minute.

Tachypnea is the term that your health care provider uses to describe your breathing if it is too fast, especially if you have fast, shallow breathing from a lung disease or other medical cause.

The term hyperventilation is usually used if you are taking rapid, deep breaths. This can be due to lung disease or because of anxiety or panic. The terms are sometimes used interchangeably.

Shallow, rapid breathing has many possible medical causes, including:

  • Asthma
  • Blood clot in an artery in the lung
  • Choking
  • Chronic obstructive pulmonary disease (COPD) and other chronic lung diseases
  • Heart failure
  • Infection in the smallest air passages of the lungs in children (bronchiolitis)
  • Pneumonia or other lung infection
  • Transient tachypnea of the newborn
  • Anxiety and panic
  • Other serious lung disease, such as interstitial lung disease or bronchiectasis

Rapid, shallow breathing should not be treated at home. It is generally considered a medical emergency (unless anxiety is the only cause).

If you have asthma or COPD, use your inhaler or nebulizer medicines as prescribed by your provider. You may still need to be checked by a provider right away if you have rapid shallow breathing. Your provider will explain when it is important to go to the emergency room.

Call 911 or the local emergency number, or go to the emergency room if you are breathing rapidly and you have:

  • Bluish or grayish color to the skin, nails, gums, lips, or the area around the eyes (cyanosis)
  • Chest pain
  • Chest that is pulling in with each breath
  • Fever
  • Labored or difficult breathing
  • Never had rapid breathing before
  • Symptoms that are getting more severe

The provider will do a thorough exam of your heart, lungs, abdomen, and head and neck.

Tests that may be ordered include:

  • Arterial blood gas and pulse oximetry to check your oxygen level
  • Chest x-ray
  • Chest CT scan
  • Complete blood count (CBC) and blood chemistries
  • Electrocardiogram (ECG)
  • Ventilation/perfusion scan of your lungs
  • Comprehensive metabolic panel to check the body's chemical balance and metabolism

Treatment will depend on the underlying cause of the rapid breathing. Treatment may include oxygen if your oxygen level is too low. If you are having an asthma or a COPD attack, you'll receive treatment to stop the attack.

Many times, this evaluation will need to be done in an emergency room setting.

Tachypnea; Breathing - rapid and shallow; Fast shallow breathing; Respiratory rate - rapid and shallow

Kraft M. Approach to the patient with respiratory disease. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 77.

McGee S. Respiratory rate and abnormal breathing patterns. In: McGee S, ed. Evidence-Based Physical Diagnosis. 4th ed. Philadelphia, PA: Elsevier; 2018:chap 19.

Updated by: Denis Hadjiliadis, MD, MHS, Paul F. Harron, Jr. Associate Professor of Medicine, Pulmonary, Allergy, and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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Introduction[edit | edit source]

What is the term for the breathing pattern in which the depth of breathing increases?

Respiratory rate (RR) is a non–invasive and useful assessment tool and abnormalities in respiratory rate have been shown to indicate patient deterioration and should be managed accordingly.[1]

Respiration is a vital process for humans, supplying oxygen to the mitochondria for ATP production (our bodies energy currency). The main byproduct of this process, carbon dioxide which goes through a process to finally be exhaled form our lungs.

The respiratory rate, i.e., the number of breaths per minute, is highly regulated to enable cells to produce the optimum amount of energy at any given occasion.

  1. Our nervous system regulates the rate of oxygen inflow and carbon dioxide outflow. It adjusts it accordingly in conditions that tend to derange partial gas pressures in blood.
  2. Respiration is a process involving the brain, brainstem, respiratory muscles, lungs, airways, and blood vessels. All these structures have involvement structurally, functionally, and regulatory to respiration[2].
  3. Recording a full set of vital signs (pulse rate, blood pressure, respiratory rate and temperature) at least daily is considered standard for monitoring patients on acute hospital wards.[3]

Image 1: Animation of a diaphragm exhaling and inhaling

Norms - Respiratory Rates[edit | edit source]

What is the term for the breathing pattern in which the depth of breathing increases?

RR is measured by counting the number of breaths a person takes in a one-minute period. The rate should be measured at rest, not after someone has been up and walking about.

  • Newborn: 30-60 breaths per minute
  • Infant (1 to 12 months): 30-60 breaths per minute
  • Toddler (1-2 years): 24-40 breaths per minute
  • Preschooler (3-5 years): 22-34 breaths per minute
  • School-age child (6-12 years): 18-30 breaths per minute
  • Adolescent (13-17 years): 12-16 breaths per minute
  • The average respiratory rate in a healthy adult is between 12 and 18 breaths per minute.
  • Normal respiratory rates in elderly people tend to be higher than those of younger adults, especially among older adults who are in long-term care facilities[4]

Recent evidence suggests that an adult with a respiratory rate of over 20 breaths/minute is probably unwell, and an adult with a respiratory rate of over 24 breaths/minute is likely to be critically ill.[3]

Best Practice Procedure[edit | edit source]

Points to remember:

  • Take into consideration the importance of how the person is breathing, as well as the rate at which they are breathing
  • Respiratory rate, depth and symmetry are indicative of different types of conditions. eg Pneumothorax: Asymmetrical chest expansion, use of accessory muscles; Exacerbation of asthma: Dyspnoea, difficulty breathing, wheeze, tachypnoea (RR above 20 breaths per minute); Exacerbation of chronic obstructive pulmonary disease: Dyspnoea, wheeze, tachypnoea (RR above 20 breaths per minute)
  • The ideal length of time to take a respiratory rate measurement is 60 seconds, without patient awareness that they are being monitored.
  • Oxygen saturation measurement (eg oximetry) is not a replacement for respiratory rate measurement
  • Accurate documentation and interpretation of accurately taken observations help improve patient outcomes[1]

Importance[edit | edit source]

What is the term for the breathing pattern in which the depth of breathing increases?

Changes and anomalies in RR are not simply associated with respiratory conditions, they are a good indicator that a patient is struggling to maintain homeostasis. Respiratory rate is an early, extremely good indicator of physiological conditions such as hypoxia (low levels of oxygen in the cells), hypercapnia (high levels of carbon dioxide in the bloodstream), metabolic and respiratory acidosis. Conditions in altered RR include:

  • Metabolic acidosis states increase the tidal volume
  • Metabolic alkalosis decreases the RR.
  • Interstitial diseases that change the mechanical input to the respiratory centre lead to a rapid breathing rate.
  • Congestive heart failure activates a neural circuit leading to stimulation of the respiratory centre resulting in an increase in breathing rate.
  • Higher cortical centres can be affected by an increase in intracranial pressure, e.g., in a patient with head trauma or by pain in a patient with a rib fracture, resulting in an increased respiratory rate.
  • The opposite effect on higher centres will be observable in an individual who has taken CNS depressant substances[2].
  • Dehydration: Dehydration alone can result in a rapid rate of breathing.
  • Fever: An increased rate of breathing with a fever is the body's attempt to lose heat by breathing faster. This is important both because a rapid respiratory rate can be a sign of a worsening infection, and because a fever needs to be taken into account in interpreting the respiratory rate.
  • Hyperventilation: People may breathe more rapidly in response to stress, pain, anger or during a panic attack.[4]

Image 2: Researchers at University College London have developed new algorithms that make it possible to use low-cost thermal cameras attached to mobile phones to track how fast a person is breathing. This type of mobile thermal imaging could be used for monitoring breathing problems in elderly people living alone, people suspected of having sleep apnea or babies at risk for sudden infant death syndrome (SIDS).

Terminology[edit | edit source]

Terms to describe abnormal respiratory rate include:

  • Bradypnea is the medical term used to define breathing that is abnormally slow.
  • Tachypnea is the medical term used to define an elevated respiratory rate. This rapid respiratory rate is usually shallow, versus hyperpnea which can be rapid and deep.
  • Dyspnea refers to the sensation of shortness of breath and can occur with an elevated, a normal, or a decreased respiratory rate.
  • Hyperpnea refers to breathing that is abnormally deep and appears laboured. It may occur with or without rapid breathing.
  • Apnea means literally “no breath” and refers to the absence of breathing[4]. eg sleep apnea

References[edit | edit source]

  1. ↑ 1.0 1.1 Rolfe S. The importance of respiratory rate monitoring. British Journal of Nursing. 2019 Apr 25;28(8):504-8. Available: https://www.magonlinelibrary.com/doi/full/10.12968/bjon.2019.28.8.504?rfr_dat=cr_pub++0pubmed&url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org(Accessed 9.12.2021)
  2. ↑ 2.0 2.1 Chourpiliadis C, Bhardwaj A. Physiology, Respiratory Rate.Available: (accessed 9.12.2021)
  3. ↑ 3.0 3.1 Cretikos MA, Bellomo R, Hillman K, Chen J, Finfer S, Flabouris A. Respiratory rate: the neglected vital sign. Medical Journal of Australia. 2008 Jun;188(11):657-9.Available:https://www.mja.com.au/journal/2008/188/11/respiratory-rate-neglected-vital-sign (accessed 9.12.2021)
  4. ↑ 4.0 4.1 4.2 Very well health What Is a Normal Respiratory Rate? Available: https://www.verywellhealth.com/what-is-a-normal-respiratory-rate-2248932(accessed 9.12.2021)

What is increase in depth of breathing?

Some of the public describe tachypnea as any rapid breathing. Hyperventilation is then described as increased ventilation of the alveoli (which can occur through increased rate or depth of breathing, or a mix of both) where there is a smaller rise in metabolic carbon dioxide relative to this increase in ventilation.

What is the depth of breathing called?

Each breath contains around 500-600 ml of air, this is called the Tidal Volume (the depth of inhalation). People usually take around 10-15 breaths per minute when resting. This is described as the Respiratory Rate.

Which breathing pattern is characterized by increase in rate and depth of respirations?

Kussmaul respiratory pattern occurs due to increased tidal volume with or without an increased respiratory rate. It is a form of hyperventilation.

Which term describes a pattern in which the rate and depth of breathing increases then decreases until the individual becomes apneic?

Cheyne-Stokes breathing is typically characterized by: a gradual increase in breathing, followed by a decrease. an apneic, or non-breathing, phase that occurs after a person's breathing gets more shallow. an apneic period that typically lasts 15 to 60 seconds.