Normal Vital Signs for Peds & Pain Assessment Tools

Neonates (1-30 days) normal blood pressure:

67-84/35-53

Infant (30 days-1yr) normal blood pressure:

72-104/37-56

Toddler (1-3 yrs) normal blood pressure:

86-106/42-63

Preschoolers (3-5 yrs) normal blood pressure:

89-112/ 46-72

School age (6-9 yrs) normal blood pressure:

97-115/57-76

Adolescent (12-18 yrs) normal blood pressure:

110-131/64-83

Neonate normal pulse (awake and sleeping)

awake: 100-205

sleeping: 90-160

infant normal pulse (awake and sleeping)

awake: 100-180

sleeping: 90-160

Toddler normal pulse (awake and sleeping)

awake: 98-140

sleeping: 80-120

Preschooler normal pulse (awake and sleeping)

awake: 80-120

sleeping: 65-100

School-age normal pulse (awake and sleeping)

awake: 75-118

sleeping: 58-90

Adolescent normal pulse (awake and sleeping)

awake: 60-100

sleeping: 50-90

normal respiratory rate 1 day to 1 yr (neonates and infants)

30-60

normal respiratory rate 1-3yrs (toddlers)

24-40

normal respiratory rate 3-5yrs (preschool)

22-34

normal respiratory rate 5-12 yrs (school-age)

18-30

normal respiratory rate 12 + yrs:

12-18

CRIES pain assessment tool:

used for neonates (1-30 days)

assesses crying, respirations, increased vitals, facial expressions, and sleep.

each category receives a score from 0-2. higher pain level correlates with a higher score.

NIPS pain assessment tool:

used for neonates (1-30days)

Assesses facial expression, cry, breathing pattern, arms, legs, and state of arousal.

each category receives a score from 0-1 (except for cry which is 0-2)

a score of 3-4 indicates mild-moderate pain

a score greater than 5 indicates severe pain requiring pharmacological intervention.

FLACC pain assessment tool:

used for infants and toddlers or any age that has developmental delay

assesses face, legs, activity, cry, and consolability.

each category receives a score from 0-2.

a higher score correlates with a higher level of pain.

Wong-Baker pain rating scale:

used for preschool/school-age children (3-5 and 5-12yrs)

asks patient to point to which face correlates with the pain they are feeling