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20-September-2008 10:08:30 - Cheyne-Stokes respiration Symptom/Sign: Cheyne-Stokes respiration Classifications and external resources ICD-10 R06.3 ICD-9 786.04 Cheyne-Stokes respiration also known as periodic breathing is an abnormal pattern of breathing characterized by oscillation of ventilation between apnea and hyperpnea, to compensate for changing serum partial pressures of oxygen and carbon dioxide. The condition was named after John Cheyne and William Stokes, the physicians who first described it in the 19th century. 1 2 This abnormal pattern of breathing can be seen in patients with strokes, traumatic brain injuries, brain tumors, and congestive heart failure. In some instances, it can occur in otherwise normal people during sleep at high altitudes. It can occur in all forms of toxic metabolic encephalopathy.3 It is a symptom of carbon monoxide poisoning, along with syncope or coma. This type of respiration is also often seen after morphine administration. Hospice personnel often note the presence of Cheyne-Stokes breathing as a patient nears death, and report that patients able to speak after such episodes do not report any distress associated with the breathing, although it is sometimes disturbing to the family. Cheyne-Stokes respirations are not the same as Biot's respirations cluster breathing, in which groups of breaths tend to be similar in size. They differ from Kussmaul respirations in that the Kussmaul pattern is one of consistent very deep breathing at a decreased or normal rate. References ^ J. Cheyne: A case of apoplexy in which the fleshy part of the heart was converted into fat. Dublin Hospital Reports, 1818, 2: 216-223. Reprinted in F. A. Willius T. E. Keys: Cardiac Classics, 1941, pp. 317-320 ^ William Stokes: Fatty degeneration of the heart. In his: The Diseases of the Heart and Aorta. Dublin, 1854, pp. 320-327. ^ The Diagnosis of Stupor and Coma by Plum and Posner, ISBN 0195138988 v d e Symptoms and signs: circulatory and respiratory systems R00-R09, 785-786 Cardiovascular system heartbeat: Tachycardia - Bradycardia - Palpitation blood flow: Heart murmur - Bruit/Carotid bruit - Epistaxis Gangrene Respiratory system and other chest symptoms Hemoptysis - Cough abnormalities of breathing Dyspnea, Orthopnoea, Stridor, Wheeze, Cheyne-Stokes respiration, Hyperventilation, Mouth breathing, Hiccup, Bradypnea, Hypoventilation Chest pain - Asphyxia - Pleurisy - Respiratory arrest - Sputum - Rales - Hypercapnia Retrieved from http://en..org/wiki/Cheyne-Stokes_respiration Categories: Abnormal respiration Views Article Discussion this page History Personal tools Log in / create account Navigation Main page Contents Featured content Current events Random article Search Go Search Interaction Community portal Recent changes Contact Donate to Help Toolbox What links here Related changes Upload file Special pages Printable version Permanent link Cite this page Languages БългарÑ?ки Deutsch Italiano Nederlands Bahasa Indonesia 日本語 Polski Português РуÑ?Ñ?кий Svenska This page was last modified on 7 August 2008, at 06:47
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So many of us do not eat a balanced diet, get enough sleep, have too much stress, or are impacted with toxins and pollutants. Drinking 2 ounces of MonaVie twice a day will help your body detoxify as well as build your immune system. Its the smartest thing you can do for yourself, so start today. Buying MonaVie through our company guarantees you support 7 days a week and, if you would like to share MonaVie with your family and friends we will guide you from start to finish.
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