Vital Signs

Question 1

6 vital signs to assess

Answer 1

• temperature
• Pulse
• BP
• Respiration
• Pain
• Oxygen saturation

Question 2

When to measure vital signs (BASSH)

Answer 2

Before, during and after:
Blood products transfusion o Medication administration o Nursing intervention
Admission
Status changes
Symptoms that are non-specific
Hospital routine schedule

Question 3

Acceptable ranges for adults

Answer 3

Temperature
- Average temperature range: 36oC - 38oC
(96.8oF – 100.4oF)
- Average oral/tympanic: 37oC (98.6oF) o Average rectal: 37.5oC (99.5oF)
- Axillary: 36.5oC (97.7oF)

Pulse
- 60-100 beats/min, strong and regular
- Blood Pressure
- Systolic: <120mmHg
- Diastolic: <80mmHg
- Pulse pressure: 30-50mmHg

 Respiration
o 12-20 breaths/min, deep and regular
 O2 Saturation
o Normal: SPO2 ≥ 95%