Vs Pedia
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Vital Signs of Pediatric Patients at Various Ages Age (yr) <1 1-2 2-5 6-12 >12
Respiratory Rate (breaths/min) 30-60 24-40 22-34 18-30 12-16
Heart Rate (beats/min ) 100-160 90-150 80-140 70-120 60-100
Lower limits of systolic pressure† (see below) 0-28 days: 60 mmHg 1-12 months: 70 mm Hg 1-10 years: 70 mm Hg + (2¥ age in years) Reference: Rosen's Emergency Medicine: Concepts and Clinical Practice 5th Edition
Detailed Vital Signs at Various Ages Age Premature 0-3 mo 3-6 mo 6-12 mo 1-3 yr 3-6 yr 6-12 yr 12 * yr
Heart Rate (beats/min) 120-170 * 100-150 * 90-120 80-120 70-110 65-110 60-95 55-85
Blood Pressure (mm Hg) 55-75/35-45† 65-85/45-55 70-90/50-65 80-100/55-65 90-105/55-70 95-110/60-75 100-120/60/75 110-135/65/85
Respiratory Rate (breaths/min) 40-70‡ 35-55 30-45 25-40 20-30 20-25 14/22 12-18
References: Behrman, Nelson Textbook of Pediatrics: 17th edition. * From Dieckmann R, Brownstein D, Gausche-Hill M (eds): Pediatric Education for Prehospital Professionals. Sudbury, Mass, Jones & Bartlett, American Academy of Pediatrics, 2000, pp 4345. † From American Heart Association ECC Guidelines, 2000. Medically Reviewed by: Benjamin C. Wedro, MD, FAAEM Last Editorial Review: 3/10/2008
Normal Weight & Systolic/Diastolic blood pressure for Pediatric Patients Age Newborn Newborn 1 month 6 months 1 year
Wt by Kg 1 2-3 4 7 10
SBP 40-60 50-70 64-96 60-118 66-126
DBP 20-36 30-45 30-62 50-70 41-91
Vital Signs of Pediatric Patients at Various Ages 2-3 years 4-5 years 6-8 yrs 10-12 yrs >14 Adult
12-14 16-18 20-26 32-42 >50 70
74-124 79-119 80-124 85-135 90-140 90-140
39-89 45-85 45-85 55-88 60-90 60-90
Temperature
•
Usually measure axillary.
•
Timing: • Continued • Intermittent • Remittent • Relapsing
•
Nomenlature:. • Hyperpyrexia: >41.6°C • Hypothermia: <35°C
Cardiac rate
•
Get the apical pulse below left nipple line using bell of stethoscope.
•
Diaphragm of stethoscope may also be used.
•
Measure for 15 seconds (with uncooperative children), then multiple by 4 to get rate/min.
•
Usually measure radial and femoral.
•
Assess rhythm, character, delays.
Pulse
Respiratory rate
•
Measure while baby isn't crying, hence usually at the start of examination.
Blood pressure
•
•
Requirements of a pediatric BP cuff: o
Bladder covers 2/3 of the upper arm.
o
Bladder is 1/2 width of upper arm.
o
Cuff goes all the way around.
Measure R arm, keep at level of heart.
Respiratory Rate (breaths/min) 30-60 24-40 22-34 18-30 12-16
Heart Rate (beats/min ) 100-160 90-150 80-140 70-120 60-100
Lower limits of systolic pressure† (see below) 0-28 days: 60 mmHg 1-12 months: 70 mm Hg 1-10 years: 70 mm Hg + (2¥ age in years) Reference: Rosen's Emergency Medicine: Concepts and Clinical Practice 5th Edition
Detailed Vital Signs at Various Ages Age Premature 0-3 mo 3-6 mo 6-12 mo 1-3 yr 3-6 yr 6-12 yr 12 * yr
Heart Rate (beats/min) 120-170 * 100-150 * 90-120 80-120 70-110 65-110 60-95 55-85
Blood Pressure (mm Hg) 55-75/35-45† 65-85/45-55 70-90/50-65 80-100/55-65 90-105/55-70 95-110/60-75 100-120/60/75 110-135/65/85
Respiratory Rate (breaths/min) 40-70‡ 35-55 30-45 25-40 20-30 20-25 14/22 12-18
References: Behrman, Nelson Textbook of Pediatrics: 17th edition. * From Dieckmann R, Brownstein D, Gausche-Hill M (eds): Pediatric Education for Prehospital Professionals. Sudbury, Mass, Jones & Bartlett, American Academy of Pediatrics, 2000, pp 4345. † From American Heart Association ECC Guidelines, 2000. Medically Reviewed by: Benjamin C. Wedro, MD, FAAEM Last Editorial Review: 3/10/2008
Normal Weight & Systolic/Diastolic blood pressure for Pediatric Patients Age Newborn Newborn 1 month 6 months 1 year
Wt by Kg 1 2-3 4 7 10
SBP 40-60 50-70 64-96 60-118 66-126
DBP 20-36 30-45 30-62 50-70 41-91
Vital Signs of Pediatric Patients at Various Ages 2-3 years 4-5 years 6-8 yrs 10-12 yrs >14 Adult
12-14 16-18 20-26 32-42 >50 70
74-124 79-119 80-124 85-135 90-140 90-140
39-89 45-85 45-85 55-88 60-90 60-90
Temperature
•
Usually measure axillary.
•
Timing: • Continued • Intermittent • Remittent • Relapsing
•
Nomenlature:. • Hyperpyrexia: >41.6°C • Hypothermia: <35°C
Cardiac rate
•
Get the apical pulse below left nipple line using bell of stethoscope.
•
Diaphragm of stethoscope may also be used.
•
Measure for 15 seconds (with uncooperative children), then multiple by 4 to get rate/min.
•
Usually measure radial and femoral.
•
Assess rhythm, character, delays.
Pulse
Respiratory rate
•
Measure while baby isn't crying, hence usually at the start of examination.
Blood pressure
•
•
Requirements of a pediatric BP cuff: o
Bladder covers 2/3 of the upper arm.
o
Bladder is 1/2 width of upper arm.
o
Cuff goes all the way around.
Measure R arm, keep at level of heart.
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