GOVERNMENT COLLEGE OF NURSING

JODHPUR

MICROTEACHING ON- VITALS SIGN-

RESPIRATION

SUBMITTED TO: SUBMITTED BY:

MRS. ANNAMMA SUMON PRIYANKA GEHLOT

NURSING LECTURER M.Sc NSG PREVIOUS

GOVERNMENT COLLEGE OF NURSING JODHPUR
 LESSON PLAN

INRODUCTION
 Student Teacher Name - Priyanka Gehlot

 Subject - Nursing foundation

 Unit

 Topic - Vital Signs Respiration

 Group - B.sc Nsg. Part I

 Venue -- Classroom at GCON, JDR

 Date and Time -

 Duration - 45 minutes

 Method of Teaching - Lecture Cum Discussion

 A.V. Aids - PPT, , blackboard and LCD projector

charts

 Previous Knowledge of the Group- Student have some knowledge about the topic.
General objectivity
At the end of class, students will be able to enhance their knowledge regarding Vital signs-
Respiration.

SPECIFIC OBJECTIVES

At the end of class, group will be able to:

 To enlists the terminologies of respiration.

 To define respiration.
 To discuss the purpose of respiration.
 To ellobrate the normal rates of respiration
 To describe the characteristics of respiration.
 To explain the factors influencing respiration.
 Discuss breath and adventitious sound
S.NO DURATION SPECIFIC CONTENT TEACHING LEARNING AV AIDS EVALUATION
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SELF-
INTRODUCTION:
Myself Priyanka Gehlot
student of M.SC (NSG)
prev. year student and
today’s topic for teaching
is vital signs- Respiration.

INTRODUCTION:
1. 1 min. To introduce the
topic Vital sign are the indicator of the body’s
physiologic status and response to physical
environment and psychological stressor. The
vital sign or the cardinal sign are temperatre,
pilse, respiration, and blood pressure.

The respiration rate is the number of breaths a

person takes per minute. The rate is usually
measured when a person is at rest and simply
involves counting the number of breaths for
one minute by counting how many times the
chest rises. Respiration rates may increase with
fever, illness, and other medical conditions.
When checking respiration, it is important to
also note whether a person has any difficulty
breathing.

Normal respiration rates for an adult person at

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rest range from 12 to 16 breaths per minute

2. 2 min. To enlists the
terminologies of Some terms of respiration- Lecturer cum discussion LCD Projector, What do you
respiration. method is used for teaching. blackboard. mean by
 Tachypnoea- an increased respiration Students listen carefully in tachypnoea and
rate more than 24 breath/ min.
the class. bradypnoea
 Bradypnoea- a decreased respiratory
rate less than 10 breaths/ min.
 Apnoea- total cessation of breathing or
respiratory rate.
 Hyperapnoea- increase in the depth of
respiration.
3. 2 min. To define
respiration. Definition: Lecturer cum discussion What is
Respiration is the process of bringing oxygen method is used for teaching. LCD Projector, respiration
to body tissues and removing carbon dioxide Students listen carefully in blackboard.
from it. The lungs play a major role in this the class.
process.
Two aspects are involved in respiration:
1. Ventilation: it involves movement of air
into and out of lungs.
2. External respiration: Exchange of gas
between alveoli and pulmonary blood
supply.
3. Internal respiration: Gas exchange
between capillaries and body tissues.
4. To discuss the Lecturer cum discussion LCD Projector,
1. min. purpose of Purpose method is used for teaching. blackboard.
Tell me one
purpose of
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respiration.  To determine respiratory status of the Student will pay attention in respiration
patient. the class.
 To assess response of patient to any
related therapy/medication.
To ellobrates
5.
1. the normal rates Normal rates Lecturer cum discussion
of respiration. method is used for teaching. LCD Projector, What is the rate
 At birth- 30-40 breaths/min Student will pay attention in blackboard. of respiration at
 1 yr- 20-26 breaths/min the class. birth
 Adolescence- 20 breaths/min
 Adults- 16 to 20 breaths/ min
To describe the  Old age- 10-24 breaths/min.
6. 2 min. characteristics
of respiration. Characteristics of respiration- Lecturer cum discussion
1. Respiration rate: It indicates the number of method is used for teaching. LCD Projector, Tell me 2
times the person breathes in and out in one Student will pay attention in blackboard. characteristi
minute. the class.
2. Depth: It is estimated by observing the
movement of chest during inspiration, which
may be deep or shallow.
3. Rhythm: It indicate the equal interval
between two respiration

Abnormality of rate and rhythm

 Kussmaul’s respiration- respiration that
are regular but abnormally deep and
increase in rate.
 Biot’s respiration- periods of equal
depth, alternating with periods of apnea.
 Cheyne’s stokes respiration- gradual
S.NO DURATION SPECIFIC CONTENT TEACHING LEARNING AV AIDS EVALUATION
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increase in depth of respirations,
followed by gradual decrease and then a
period of apnea.
 Apnea – absence of breathing
To explain the
7.
2 min. factors Factors influencing Lecturer cum discussion LCD Projector,
influencing method is used for teaching. blackboard,
 Exercise Students listen carefully in charts.
respiration.
 Pain the class.
 Stress
 Smoking
 Fever
 Pulse rate
 Hemoglobin
 Disease
 Medications
 Position.

3 min. Discuss breath

8.
and adventitious Breath sounds
sound
 Vesicular sounds: heard over lung’s
periphery created by air moving
through smaller airways.
 Bronchovesicular sound- best heard
posteriorly between scapulae and
anteriorly over bronchioles lateral to
sternum at first and second intercostals
space.
 Bronchial sound- loud and high pitched
S.NO DURATION SPECIFIC CONTENT TEACHING LEARNING AV AIDS EVALUATION
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with hollow quality, heard only

Adventitious sound

 Wheezes- high pitches, continous

musical sound heard on expiration.
Caused by narrowing of the airways.
 Ronchi-low pitched, continous sounds
caused by secretions in the large
airways.
 Crackles- popping or low pitched
bubbling sound usually occurring on
inspiration.
 Stridor- high pitched sound that is
primarily heard during inspiration in
infacts experiencing respiratory distress.
SUMMARY
Today we discussed about vital signs-Respiration –definition, purpose, normal rates,
characteristics, factors influencing respiration and adventious sounds.

CONCLUSION
Vital signs and remote monitoring maintain safety and improve patient care, decrease
unnecessary follow up visits, address workforce shortages.

ASSIGNMENT on – Write an assignment on vital signs – respiration.

BIBLIOGRAPHY
 Potter Perry. Fundamentals of nursing.7th ed.Gurgoan.ELSEVIER.2011(reprint).p
no.562.
 Kozier E. Fundamentals of nursing concepts, process and practice,9thed.USA,
PEARSON publisher.2012.p no.262-267.
 I Clement. Textbook of nursing foundation. 2nd edition. Publishing year 2017. Page
no. 321.
 www.medscape.com
 http://www.ncbi.nlm.gov
 http://www.scribd.com