13.7:

Factors Affecting Respiration

JoVE Core
Nursing
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JoVE Core Nursing
Factors Affecting Respiration

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01:24 min

June 20, 2024

Respiration is a crucial physiological function involving exchanging oxygen (O2) and carbon dioxide (CO2) between an organism and its environment. Various factors can impact this essential process:

  1. Age: The respiratory rate in newborns ranges from thirty to sixty breaths per minute due to their higher metabolic needs. As individuals age, their metabolic rate typically decreases, which results in a slower respiratory rate.
  2. Exercise or Physical Activity: Physical activity elevates the respiratory rate and depth to meet increased oxygen demands. During exercise, the body requires more energy, necessitating a greater intake of oxygen and carbon dioxide output.
  3. Pain: Pain can restrict inspiratory effort, leading to a faster respiratory rate and shallower breaths, as deep breathing may become uncomfortable.
  4. Anxiety: Anxiety often results in rapid, shallow breathing or hyperventilation as part of the body's fight-or-flight response to perceived threats.
  5. Chronic Smoking: Long-term smoking damages the lungs' air sacs, impairing oxygen absorption and carbon dioxide expulsion, and often leads to an increased respiratory rate.
  6. Body Posture: An erect posture allows for optimal chest expansion and gas exchange, while a stooped or reclined position can restrict lung expansion, impacting the respiratory rate.
  7. Medications: Certain medications affect respiration; for example, bronchodilators and sedatives can decrease the respiratory rate by relaxing airway muscles and reducing anxiety, whereas stimulants like amphetamines and cocaine can increase the respiratory rate by activating the central nervous system.
  8. Oxygen Concentration: High environmental oxygen concentrations, as found at sea level, typically maintain a regular respiratory rate. In contrast, low oxygen environments, such as high altitudes, require the body to work harder to obtain oxygen, increasing the respiratory rate.
  9. Carbon Dioxide Concentration: Elevated CO2 levels in the blood (hypercapnia) stimulate the brain's respiratory center to increase the rate and depth of breathing to expel excess CO2 and restore blood pH levels to normal.
  10. Temperature: Higher temperatures increase metabolic rates, raising oxygen demand and respiratory rate. Conversely, lower temperatures slow metabolic processes and decrease the respiratory rate.
  11. Hemoglobin Function: Hemoglobin levels significantly impact respiration. At high altitudes, where the air has less oxygen, the body compensates by increasing hemoglobin levels, raising the respiratory rate and depth to enhance oxygen uptake. As in anemia, lower hemoglobin levels may increase the respiratory rate as the body attempts to compensate for reduced oxygen transport capacity.

Conclusion

Understanding the factors that influence respiration is vital for healthcare professionals in assessing and monitoring respiratory function. Recognizing these elements allows for more accurate diagnoses, improved patient monitoring, and the development of effective treatment strategies. This knowledge is essential in managing respiratory health and accommodating individual variations in respiratory needs.