Academic Medical Home - Comer Pediatrics Pediatric 101 – Vital Signs Revised 05/17/2011 Basic Vital Sign – Blood Pressure (BP) Temperature (T) Normal: Rectal T: < 100.4F Axial/oral T: <99.5F Celsius to Fahrenheit Conversion o C 35 36 37 38 39 o F 95.0 96.8 98.6 100.4 102.2 Age 40 41 104.0 42 105.8 107.6 Heart Rate/Pulse & Respiratory Rate Normal Values: Age Premature 0-3mo 3-6mo 6-12mo 1-3 yr 3-6 yr 6-12yr 12+yr P (at rest) Beats/min RR (at rest) Breaths/min 120-170 100-150 90-120 80-120 70-110 65-110 60-95 55-85 40-70 35-55 30-45 25-40 20-30 20-25 14-22 12- 18 Ref: Nelson 17th ed. Measure in 15 - 30 seconds (if 15 seconds, multiply by 4; if 30 seconds, multiply by 2). Assess these vital signs when the child is resting quietly or sleeping if possible, if agitated or crying make a note. Use a stethoscope to measure heart rate in children less than 2yrs old Vital Sign – Oxygen Saturation Normal Values: 95% and above at room air Vital Sign – Pain Perception Wong-Baker Pain Scale can be used in children >3yrs old Premature 0-3mo 3-6mo 6-12mo 1 yr 2 yr 4 yr 6 yr 8 yr 10 yr 12 yr 14 yr 16 yr 17 yr BP (at rest) 90th percentile by 50th height (systolic/diastolic) F M 55-75/35-45 65-85/45-55 70-90/50-65 80-100/55-65 100 / 54 99 / 52 101 / 59 102 / 57 104 / 66 107 / 65 108 / 70 110 / 70 111 / 72 112 / 73 115 / 74 115 / 75 119 / 76 120 / 76 122 / 78 125 / 78 124 / 80 130 / 80 125 / 80 132 / 82 Hypotension <60 mm Hg for neonates <70 mm Hg from 1 mo–1 yr; <70 mm Hg + 2 x age from 1–10 yr <90 mm Hg if older than age 10 yr Ref: BP for infants 0-12 mo Nelson 17th ed. BP for children 1-17 yrs The Harriet Lane Handbook 18th ed. 2009 Paediatric Cardiology . Anderson R et al. 3rd ed. Churchhill Livingstone, 2010 Nadas’ Pediatric cardiology. Keane, F et al. 2nd ed. Elsevier Inc, 2006 http://www.cc.nih.gov/ccc/pedweb/pedsstaff/bptable1.PDF http://www.cc.nih.gov/ccc/pedweb/pedsstaff/bptable2.PDF DCAM Nurse Triage Well- Child Visit Triage Children <=2 yrs: Wt, Lt, HC, Temp Children ≥ 3 yrs: Wt, Ht, BP, Temp Blood Pressure Measurement for Be sure to note how many points the assessment is http://painconsortium.nih.gov/pain_scales/index.html Well Check-Up and sick visits : ≥ 3 years Headache and chest pain, ADHD management Oxygen Saturation Measurement only for patients with wheezing or difficult breathing 1