Cardiovascular Medicine Book

Vitals

Dermatology

http://www.fpnotebook.com/

Pediatric Vital Signs

Aka: Pediatric Vital Signs, Vital Signs in Children
  1. See Also
    1. Vital Signs
    2. Blood Pressure
    3. Heart Rate
    4. Respiratory Rate
    5. Fever
    6. Oxygen Saturation
    7. Pediatric Assessment Triangle
    8. Broselow Tape
  2. Approach: Formulas and General Rules (Children over 1 year old)
    1. Formulas (Systolic Blood Pressure)
      1. Median SBP = 90 mmHg + (2 x Age in years)
      2. Minimum SBP = 70 mmHg + (2 x Age in years)
    2. Rough Approximations
      1. Pulse or Heart Rate (HR)
        1. Infant Pulse: 160
        2. Preschool Pulse: 120
        3. Adolescent Pulse: 100
      2. Systolic Blood Pressure (SBP)
        1. Infant SBP: 80
        2. Preschool SBP: 90
        3. Adolescent SBP: 100
      3. Respiratory Rate (RR)
        1. Infant RR: 40
        2. Preschool RR: 30
        3. Adolescent RR: 20
  3. Indications: Rapid cardiopulmonary assessment (e.g. Pediatric Assessment Triangle)
    1. Systolic Blood Pressure is observed to drop 10 mm Hg
    2. Respiratory Rate >60
    3. Heart Rate outside ranges shown below
    4. Increased work of breathing
      1. Retractions
      2. Nasal Flaring
      3. Grunting
    5. Cyanosis or decreased Oxygen Saturation
    6. Altered LOC (irritability, lethargy)
    7. Seizures
    8. Fever with Petechiae
    9. Trauma
    10. Burns >10% of body surface area
  4. Evaluation: Age associated Vitals
    1. Term Newborn (3 kg)
      1. Temperature: 36.5 to 38.0 C (97.7 to 100.4 F)
      2. Mean arterial pressure (MAP): (Gestational age at birth) + (age in weeks)
        1. Example: An newborn at 38 weeks presents at 1 week of life, MAP = 39
      3. Blood Pressure:
        1. Birth: 75-95/37-55 mmHg
        2. Age 12 hours: 50-70 / 25-45 mmHg
        3. Age 96 hours: 60-90 / 20-60 mmHg
        4. Age 7 days: 74 +/- 22 mmHg (Systolic BP)
        5. Age 42 days: 96 +/- 20 mmHg (Systolic BP)
      4. Pulse: 80-200
      5. Respiratory Rate: 40-60
    2. Infant (6 months old)
      1. Blood Pressure: 87-105 / 53-66
      2. Pulse: 80-180
    3. Toddler (2 years old)
      1. Blood Pressure: 95-105/53-66
      2. Pulse: 80-180
      3. Respiratory Rate = 24
    4. School age (7 years old)
      1. Blood Pressure: 97-112 / 57-71
      2. Pulse: 60-160
    5. Adolescent (15 years old)
      1. Blood Pressure: 112-128 / 66-80
      2. Pulse: 60-160
      3. Respiratory Rate = 12

You are currently viewing the original 'fpnotebook.com\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree