February 9, 2012

Hyperventilation and the number game

I would like to share with you all a trick that I learned a little while back for dealing with patient’s that are hyperventilating. I’m sure you have all had that patient who is breathing 28 times a minute after their boyfriend dumped them or had some type of stressful event. This usually leads to Carpopedal Spasms which often leads to even more anxiety. Getting your patient to slow down and regulate their breathing pattern can be very difficult. The technique that I am going to explain has proven to be helpful to me, but it isn’t perfect as it requires your patient’s participation.

Before I get into this technique, please remember to assess your patients properly. Always try and rule out other causes of rapid breathing before assuming that your patient is just hyperventilating because of stress or anxiety.

When I encounter patients that are hyperventilating I try to get them to follow a normal breathing pattern by having them take a deep breath and then telling them to count to 10 slowly without taking a breath. It’s OK if they can’t make it to 10. You can can start low and work your way up. Once they finish counting, let them take one more deep breath and then do it again. Continue doing this until they regulate their breathing.

Like I said before, it’s not a perfect technique as the patient has to be willing to participate. I have had it work plenty of times but have also found it to be useless on some patient’s too. Please let me know if you have success with this strategy. Also, if you have any other tips for treating hyperventilation, feel free to comment below!

I hope you enjoyed this quick tip.



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  • http://twitter.com/Jeramedic Jeremiah Bush

    Great tip. That’s something I will try next time. What I like to do is first reassure them of the situation, and then have them breath with me. I’ll say “ok, follow and breath with me.” I’ll breath in slowly, and use my shoulders, head and chest to to emphasize the breath. Then exhale slowly and keep giving encouragement.

  • http://twitter.com/Jeramedic Jeremiah Bush

    Great tip. That's something I will try next time. What I like to do is first reassure them of the situation, and then have them breath with me. I'll say “ok, follow and breath with me.” I'll breath in slowly, and use my shoulders, head and chest to to emphasize the breath. Then exhale slowly and keep giving encouragement.

  • Canadian medic

    I use something similar. I breathe with them as I verbalize “breathe in..2..3..4, and out 2..3..4. In 14 yrs, I have rarely had a patient who took longer than 45-60 secs to settle with this technique. Once they slow, I ask questions that require longer narrative answers. Works to help them focus and distract them.

    • http://www.medicmadness.com Sean Eddy

      Awesome, thanks for the tip. Ill be sure to try that!

  • Canadian medic

    I use something similar. I breathe with them as I verbalize “breathe in..2..3..4, and out 2..3..4. In 14 yrs, I have rarely had a patient who took longer than 45-60 secs to settle with this technique. Once they slow, I ask questions that require longer narrative answers. Works to help them focus and distract them.

  • SeanEddy

    Awesome, thanks for the tip. Ill be sure to try that!

  • Fortune Son

    The main goal with these patients is obviously to get them to slow their breathing in order to correct the low CO2 levels. It doesn’t matter how you do it as long as they meet the main goal of slowing there breathing. Some patients just need told to straighten up there act and some need coaching. I’m not so sure it matters which number you have them count to.

    “Its not what you don’t know that get us into trouble, Its what you think you know that just aint so”