<unk>  respirationis an abnormal respiration characterized by evidence of increased effort to breathe, including the use of accessory muscles of respiration, stridor, grunting, or nasal flaring.<unk>  is distinguished from shortness of breath or dyspnea, which is the sensation of respiratory distress rather than a physical presentation.
Labored breathing
Shallow breathing
Alertness
Hypernea
Cough
Cough  
Somnolence
Apnea