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Infant and child temperature
Wider normal variations occur in infants and young children because of less effective heat control mechanisms
Infant, child, and adult SP02
95-100% (room air)
Neonate respiratory rate (breaths per min)
30-40
1 year respiratory rate (breaths per min)
20-40
2 years respiratory rate (breaths per min)
25-32
Infant pulse (beats per min)(0-12 months)
70-190 BPM
4 years Respiratory rate (Breaths/min)
23-30
8-10 years respiratory rate (breaths/min)
20-26
12-14 years respiratory rate (breaths/min)
18-22
16 years respiratory rate (breaths/min)
12-20
child pulse (1-11 years)
52-156 BPM
Child blood pressure (age 12 and under)
What is normal and what is high depends on your child’s sex, age, and height
Child blood pressure (13 and over)
120/80mmHg or lower
Adult temperature (oral)
35.8 to 37.3 (Celcius)
Adult temperature (rectal)
0.4-0.5 higher (celsius)
Adult respiratory rate
10-20
Adult pulse
50-100 BPM
Normal resting HR range of 95% of healthy persons at 50 to 95% BPM
Traditional resting HR in the 1950s
60-100 BPM
Adult Blood pressure normotensive
greater than 95/60
What expected vital sign findings would a patient with COPD (chronic obstructive pulmonary disease) have
SP02 88-92% on room air (retains C02)
What would a nurse expect to find when taking vital signs for a conditioned athlete?
In the adult a resting heart rate less than 50BPM is bradycardia
Heart rates in the 50s occur in normal healthy well-trained athletes whose heart muscle develops along with skeletal muscle
The method used for temperature; how may this vary depending on the route the nurse uses to obtain the temperature?
Rectal = 0.4 to 0.5 degrees higher
This is because it is a true “core temperature”
Considerations for abnormal values
Hypothermia
Hyperthermia
Hypoxia
Bradypnea
tachypnea
Bradycardia
Tachycardia
Hypotension
Hypertension
Hypothermia signs
Temperature less than 35.7 degrees (Celsius)
Shivering
Confusion
Slurred speech
Symptoms of hypothermia
Exhaustion
Fumbling hands
Memory loss
Drowsiness
signs of hyperthermia
temperature greater than 38 degrees (celsius)
Symptoms of hyperthermia
Headache
Dizziness
Nausea
signs of hypoxia
SP02 less than 93%
Confusion
Restlessness
Rapid HR (tachycardia)
Rapid breathing (tachypnea)
Difficulty breathing or shortness of breath (dyspnea)
Symptoms of hypoxia
Headache
Anxiety
Signs of bradypnea
9 or less breaths per minute (adult)
Confusion
Tiredness
Symptoms of bradypnea
Dizziness
signs of tachypnea
21 or high breaths per minute (adult
Symptoms of tachypnea
Chest pain
Difficulty breathing
Signs of bradycardia
49 BPM or less (adult)
Confusion
Symptoms of bradycardia
Fatigue or feeling weak
Dizziness or lightheadedness
Fainting (or near fainting)
Shortness of breath
Tires easily during exercise
Chest pain
signs of tachycardia
101 BPM or higher
Shortness of breath
Cardiac arrest
Symptoms of tachycardia
Dizziness
Palpitations
Nausea
Light-headedness
Fainting (syncope)
Chest pain
Signs of hypotension
Systolic less than 90
Confusion
Symptoms of hypotension
Blurry vision
Dizziness
Fainting (syncope)'
Light-headedness
Nausea or vomiting
Sleepiness
Weakness
Signs of hypertension
Systolic greater than 140mmHg
Shortness of breath
Irregular heartbeat
Palpitations
Diaphoresis (sweating)
Vomiting
Symptoms of hypertension
Dizziness
Chest pain
Blurred vision
Headache
Nosebleed
Fatigue
Anxiety
Blurred visioon
Confusion