Baseline Vitals

Vital Signs

Respiration Pulse Skin Assessment Blood pressure Temperature Pupil Reaction

Rate of respiration

breaths per minute

Respiration measured on

Rate Rhythm Depth Quality Sounds

Children respiration values

15-30 bpm

Adult and adolescent respiration values

12-20 bpm

Auscultation

listening to the body with stethoscope

Pulse Oximetry

portable device used to measure arterial oxygen saturation and SpO2

Hypoxia

insufficient oxygen to tissues

SpO2

ratio of amount of oxygen in blood to amount that could be carried. expressed as a percentage

Sp02 readings

95-100 adequate oxygen saturation 91-95 mild hypoxia 86-90 significant hypoxia

What is the pulse oximetry inaccurate by

5%

Pulse

heartbeat

Palpable pulse

systolic pressure of at least 80 mmHg

Pulse taking cites

Radial: wrist Carotid: neck Brachial: arm, used for children

What is used to measure pulse

bpm (beats per minute)

Pulse values

Child: 70-100 Adolescent: 60-105 Adult: 60-100

Tachyardia

rapid resting pulse (more than 100 bpm)

Bradycardia

pulse less than 60 bpm

Systolic blood pressure

first sound heard through stethoscope indicates pressure during contraction of ventricles

Systolic average

less than 120 mmHg

Diastolic blood pressure

when beating sound disappears indicates baseline pressure on arterial walls

Diastolic average

less than 80 mmHg

Average temperature

98.6 F 37 C

What is the most accurate temperature assessment

rectal temperature

Pupils

contract when light shined dilate when no light

PERRLA

pupils are equal, round, reactive to light, and accommodating

PEARL

pupils equal and reactive to light

WNL

within normal limits

Shock index

heart rate/systolic blood pressure 0.5-0.7 considered normal