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Protocol - Respiratory Rate - Adult

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Description:

A study staff member counts the number of complete respiratory cycles (one inspiration and one expiration) a subject breathes in 60 seconds.

Protocol:

1) Use a watch that can measure time in seconds.

2) Place the subject’s arm in a relaxed position across his abdomen or lower chest.

3) Observe a complete respiratory cycle (one inspiration and one expiration).

4) Count the number of respirations for 60 seconds. For adults with regular respiratory rhythm, it may be adequate to count for 30 seconds and multiply by two.

5) While counting, note whether depth is shallow, normal, or deep, and whether rhythm is normal or an altered pattern.

6) Record the results.

Protocol Name from Source:

Not Applicable; see source

Availability:

Publicly available

Personnel and Training Required

Staff trained to count respiratory rates with a watch and auscultate breath sounds.

Equipment Needs

Watch that can measure time in seconds and a stethoscope

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Physical Examination

Life Stage:

Adult, Senior

Participants:

Adults, senior

Specific Instructions:

None

Selection Rationale

The working group selected this protocol to standardize the approach to measurement of respiratory rate.

Language

English

Standards
StandardNameIDSource
Common Data Elements (CDE) Person Respiratory Rate Text 2970219 CDE Browser
Logical Observation Identifiers Names and Codes (LOINC) Resp rate adult proto 62634-1 LOINC
Derived Variables

None

Process and Review

Expert Review Panel #6 (ERP 6) reviewed the measures in the Respiratory domain.

Guidance from ERP 6 includes the following:

• No significant changes to measure

Back-compatible: no changes to Data Dictionary

Source

Potter, P. A., & Perry, A. G. (1985). Fundamentals of nursing. St. Louis, MO: C.V. Mosby Company.

General References

Evans-Smith P. (2005). Taylor’s Clinical Nursing Skills: A Nursing Process Approach. Philadelphia, PA: Lippincott Williams & Wilkins.

McFadden, J. P., Price, R. C., Eastwood, H. D., & Briggs, R. S. (1982). Raised respiratory rate in elderly patients: a valuable physical sign. British Medical Journal (Clinical Research Ed.), 284(6316), 626-627.

Taylor, C. Lillis, C, LeMone, P. & Le Bon, M (2005). Skill Checklists to Accompany Fundamentals of Nursing: The Art and Science of Nursing Care (5th Ed). Philadelphia, PA: Lippincott Williams & Wilkins.

Protocol ID:

91403

Variables:
Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX091403_Breathing_Depth_Comments PX091403040000 Breathing depth comments 4 N/A
PX091403_Breathing_Pattern_Comments PX091403030000 Breathing pattern comments 4 N/A
PX091403_Respiratory_Cycles PX091403010000 Number of respiratory cycles in one minute 4 N/A
PX091403_Respiratory_Depth_Comments PX091403020000 Respiratory Depth Comments 4 N/A
Research Domain Information
Measure Name:

Respiratory Rate

Release Date:

November 28, 2017

Definition

Respiratory rate is the number of breaths an individual takes within a specific amount of time (frequently given in breaths per minute).

Purpose

Respiratory rate is a low-burden, quantitative variable that can be used to distinguish individuals with and without various forms of lung disease.

Keywords

Respiratory, breaths per minute, inspiration, expiration, auscultation