Vital Signs

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Author:
capricelynnette
ID:
94126
Filename:
Vital Signs
Updated:
2011-07-15 14:47:49
Tags:
Nursing
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Description:
Vital Signs
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  1. Pulse

    Descriptors: regular, irregular, strong or weak

    Adult
    60 to 100 beats per minute

    Children - age 1 to 8 years
    80 to 100

    Infants - age 1 to 12 months
    100 to 120

    Neonates - age 1 to 28 days
    120 to 160
    60 to 100 BPM
  2. Blood pressure




    Systolic
    Diastolic

    Adult
    90 to 140 mmHg
    60 to 90 mmHg

    Children - age 1 to 8 years
    80 to 110 mmHg


    Infants - age 1 to 12 months
    70 to 95 mmHg


    Neonates - age 1 to 28 days
    >60 mmHg
  3. Respirations

    Descriptors: normal, shallow, labored, noisy, Kussmaul

    Adult (normal)
    12 to 20 breaths per minute

    Children - age 1 to 8 years
    15 to 30

    Infants - age 1 to 12 months
    25 to 50

    Neonates - age 1 to 28 days
    40 to 60
  4. Vital signs by age



    Adult vital signs

    Pulse
    60 to 100 beats per minute

    Blood pressure
    90 to 140 mmHg (systolic)60 to 90 mmHg (diastolic)

    Respirations
    12 to 20 breaths per minute
  5. Child vital signs (age 1 to 8 years)

    Pulse
    80 to 100 beats per minute

    Blood pressure
    80 to 110 mmHg systolic

    Respirations
    15 to 30 breaths per minute
  6. Infant vital signs

    Pulse
    100 to 140 beats per minute

    Blood pressure
    70 to 95 mmHg systolic

    Respirations
    25 to 50 breaths per minute
  7. Neonatal vital signs (full-term, <28 days)

    Pulse
    120 to 160 beats per minute

    Blood pressure
    >60 mmHg systolic

    Respirations
    40 to 60 breaths per minute
  8. Lung sounds



    Crackles or rales
    crackling or rattling sounds

    Wheezing
    high-pitched whistling expirations

    Stridor
    harsh, high-pitched inspirations

    Rhonchi
    coarse, gravelly sounds
  9. Pulse oximetry



    Range
    Value
    Treatment

    Normal
    95 to 100%
    None or placebic

    Mild hypoxia
    91 to 94%
    Give oxygen

    Moderate hypoxia
    86 to 90%
    Give 100% oxygen

    Severe hypoxia
    < 85%
    Give 100% oxygen w/ positive pressure
  10. Pain scale 5th Vital Sign



    The 0-10 pain scale is becoming known as the "fifth vital sign" in hospital, pre-hospital and outpatient care. Patients are asked to rate their pain from 0 (no pain) to 10 (the most intense pain imaginable), and a quantitative measure is taken.
  11. Apgar Scale (evaluate @ 1 and 5 minutes postpartum)




    Sign
    2
    1
    0

    A
    Activity (muscle tone)
    Active
    Arms and legs flexed
    Absent

    P
    Pulse
    >100 bpm
    <100 bpm
    Absent

    G
    Grimace (reflex irritability)
    Sneezes, coughs, pulls away
    Grimaces
    No response

    A
    Appearance (skin color)
    Normal over entire body
    Normal except extremities
    Cyanotic or pale all over

    R
    Respirations
    Good, crying
    Slow, irregular
    Absent

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