Vital Signs (Vitals, Observations)

Last updated 13.02.13

 

Index

 

-  Adult Vital Signs

-  Blood Pressure (BP)

-  O2 Saturation

-  Weight

-  Paeditric Vital Signs

 

 


Adult Vitals

<Vitals>

 

Heart Rate (HR, PR)

-  Normal: 60-100 bpm

-  >100 bpm: tachycardia

-  <60 bpm: bradycardia

 

Resp Rate (RR)

- Normal: 12-20 breaths/min

-  <12: bradypnoea

- >20: tachypnoea

 

Temperature

 

 

 

 

Paediatric Vitals

<Vitals>

 

- Heart Rate (HR)

- Blood Pressure (BP)

- Respiratory Rate (RR)

- Temperature

- Capillary Refill (CRT)

- Oxygen Saturation (O2Sat)

 

 

Heart Rate (HR, PR)

 

Age

Heart Rate

Premature

120 – 170

Newborn

100 – 160

1wk – 3mth

100 – 150

3mth – 6mth

90 – 120

6mth – 1yr

80 – 120

1yr – 3yr

70 – 110

3yr – 6yr

65 – 110

6yr – 10yr

60 – 95

>10 yrs

55 – 85

 

 

Systolic Blood Pressure (BP)

 

Age

SBP

Premature

55 – 75

Newborn

50 – 75

1wk – 3mth

65 – 85

3mth – 6mth

70 – 90

6mth – 1yr

80 – 100

1yr – 3yr

90 – 105

3yr – 6yr

95 – 110

6yr – 10yr

100 – 120

>10 yrs

110 – 135

 

 

Resp Rate (RR)

 

Age

Resp Rate

Premature

40 – 70

Newborn

40 – 60

1wk – 3mth

35 – 55

3mth – 6mth

30 – 45

6mth – 1yr

25 – 40

1yr – 3yr

20 – 30

3yr – 6yr

20 – 25

6yr – 10yr

14 – 22

>10 yrs

12 – 18

 

 

Temperature

-  > 38oC from any source = fever

-  Rectal temp preferred (core)

-  Tympanic second pref (core)

-  Oral temp = 0.3-0.5 less than core

-  Axillary temp = 0.6-1.0 less than core

-  Wand method inaccurate

 

 

Capillary Refill (CR, CRT)

-  BP difficult to measure

-  Should be <2 sec

-  >2 sec: hypovolaemia: dehydration, shock

 

O2 Saturation

-  Should be taken pre-ductal (on right hand)

 

 

 

References

 

Peds Vitals: Nelson Textbook of Paeds 2004