Vital Signs/Equipment Guidelines

Question 1

Adult normotension

Answer 1

> = 100mmHg

Question 2

Adult Hypotension:

Answer 2

<90mmHg

Question 3

Adult bradycardia:

Answer 3

<50bpm

Question 4

Adult tachycardia:

Answer 4

> =100bpm

Question 5

Adult tachypnea:

Answer 5

> =28 breaths/min

Question 6

Peds - 0-3 months RR

Answer 6

30-60

Question 7

Peds 0-3 months HR

Answer 7

90-180

Question 8

Peds 3-6 months RR

Answer 8

30-60

Question 9

Peds 3-6 months HR

Answer 9

80-160

Question 10

Peds 6-12 months RR

Answer 10

25-45

Question 11

Peds 6-12 months HR

Answer 11

80-140

Question 12

Peds 1-3 years RR

Answer 12

20-30

Question 13

Peds 1-3 HR

Answer 13

75-130

Question 14

Peds 6yr RR

Answer 14

16-24

Question 15

Peds 6yr HR

Answer 15

70-110

Question 16

Peds 10yr RR

Answer 16

14-20

Question 17

Peds 10yr HR

Answer 17

60-90

Question 18

Peds Normotension:

Answer 18

> =90mmHg + (2x age)

Question 19

Peds Hypotension:

Answer 19

<70mmHg + (age x 2)

Question 20

Peds weight (kg):

Answer 20

= (age x 2) + 10

(works for up to 8 years)

Question 21

Peds hypoglycemia, <2 years

Answer 21

<3.0mmol/L

Question 22

Peds hypoglcemia, >=2 years

Answer 22

<4.0mmol/L

Question 23

BVM volume - adult 2 hand

Answer 23

1100mls

Question 24

BVM volume - adult 1 hand

Answer 24

800mls

Question 25

BVM volume - child

Answer 25

450mls

Question 26

BVM volume - infant

Answer 26

150mls

Question 27

Normal tidal volume:

Answer 27

5-7mls/kg

Question 28

Full oxygen tank:

Answer 28

2000psi

Question 29

Safe residual pressure:

Answer 29

500psi

Question 30

Pedimate weight criteria:

Answer 30

10-40lbs, 4-18kgs

Question 31

Suctioning - infant

Answer 31

100mmHg

Question 32

Suctioning - child

Answer 32

200mmHg

Question 33

Suctioning - adult

Answer 33

500mmHg

Question 34

GCS - Eyes

Answer 34

Spontaneously - 4
To speech - 3
To pain - 2
No response - 1

Question 35

GCS - Verbal

Answer 35

Oriented to time, place and person - 5
Confused - 4
Inappropriate words - 3
Incomprehensible sounds - 2
No response - 1

Question 36

GCS - Motor

Answer 36

Obeys commands - 6
Moves to localize pain - 5
Flexion withdrawal from pain - 4
Abnormal flexion (decorticate) - 3
Abnormal extension (decerebrate) - 2
No response - 1

Question 37

APGAR - Appearance

Answer 37

blue or pale = 0
blue extremities, pink body = 1
body and extremities pink = 2

Question 38

APGAR - Pulse

Answer 38

absent = 0
<100 bpm = 1
>=100 bpm = 2

Question 39

APGAR - Grimace

Answer 39

no response to stimulation, floppy = 0
grimace on suction or aggressive stimulation = 1
cry on stimulation = 2

Question 40

APGAR - Activity

Answer 40

none = 0
some flexion of arms and legs = 1
active flexion against resistance =2