# The nurse observes ______ breathing during the patient's sleep, showing alternating periods of deep and shallow breaths followed by apnea.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=168409  
> language: ko  
> subject: Diseases of the respiratory system

## 문제

The nurse observes ______ breathing during the patient's sleep, showing alternating periods of deep and shallow breaths followed by apnea.

## 보기

1. Cheyne-Stokes **✔ 정답**
2. periodic
3. ataxic
4. Biot's
5. Kussmaul

**정답: 1**

## 해설

Cheyne-Stokes breathing is a pathological breathing pattern characterized by cycles of progressively deeper breathing followed by gradually shallower breathing, then a period of apnea. It's commonly seen in severe heart failure and neurological conditions.

## 임상 시나리오

Cheyne-Stokes Breathing:
- Pattern: Deep breaths → shallow breaths → apnea (10-60 seconds)
- Associated conditions: Heart failure, brain damage, stroke, altitude sickness
- Mechanism: Delayed feedback in respiratory control centers
- Clinical significance: Poor prognosis indicator
- Named after: John Cheyne and William Stokes
- Key characteristics: Crescendo-decrescendo pattern
- Assessment: Monitor respiratory rate, depth, rhythm
- Common during: Sleep or unconsciousness
- Differential diagnosis: Central sleep apnea, neurological disorders
- Treatment: Address underlying condition, oxygen therapy, CPAP

## 핵심 개념

- **Cheyne-Stokes breathing** — A breathing pattern characterized by rhythmic alternating periods of deep and shallow breathing followed by periods of apnea, often associated with heart failure or brain damage
- **periodic breathing** — A breathing pattern with regular cycles of breathing followed by periods of apnea, typically less severe than Cheyne-Stokes breathing
- **ataxic breathing** — An irregular, unpredictable breathing pattern with random variations in rate and depth, often indicating lower brainstem damage
- **Biot's breathing** — A breathing pattern characterized by clusters of rapid, deep breaths followed by periods of apnea, often seen in severe brain damage
- **Kussmaul breathing** — Deep, rapid breathing pattern characterized by increased tidal volume and respiratory rate, often seen in metabolic acidosis

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