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Okay so we are moving on to 
observing respirations on a patient.

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So the patient is laid in bed, they need to be
sat up, nice and tall

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So sit the patient up.

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Not too high so they are not too uncomfortable,
make sure that the patient is comfortable at this point.

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You are not going to make it obvious that
you are going to check the respirations.

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Purely because when you tell somebody that
you are going to check their breathing

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and that's what we are checking here
their natural pattern.

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So we can often put a reassuring hand on the shoulder
and we sort of hold their wrist here

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and just say that we are going to check the pulse.

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We might be doing that anyway, but at this point
we are going to concentrate on the respirations.

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An adult's respiration rate, normally is between 12 - 18
respirations per minute.

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A respiration is the inhalation and exhalation
so it is both and that is one repetition.

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We are going to count for the full minute of the respirations that take place.

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We are also looking for equal
rise and fall of the chest

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so left and right should be rising
at the same level.

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If not, you need to seek medical attention from the doctor
and the patient needs full review.

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As for respiration rate, if it does not fall 
within that normal range of 12 - 18 per minute

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the patient nmeeds to be observed more regularly and you  
also need to have maybe a medical review on this as well.

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Some people with chronic long-term
respiration conditions

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can have a naturally high or maybe even 
sometimes low respiration rate

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that obviously would fall out of that normal range.

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A doctor should set parameters for this individual
and their unique respiration rate

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levels should be adhered to when checking
their respiration levels.