Vital Signs (Paeds) Flashcards
Blood Pressure for Pediatrics
(Acceptable BP range)
How to define Hypotension?
Blood pressure reading can be affected by cuff size and technique used
Hypotension is defined as systolic BP:
<60mmhg in a neonate
<70mmHg in infants (1-12 months)
<70mmHg + [2x (age in years)] in children 1-10 years
<90mmHg in Children older than 10 years
Sys BP (mmHg)
Neonate: 60 - 80
1month-1 year: 70-90
1 - 2 years: 80-95
2 - 7 years: 90-110
7 - 12 years: 100-120
Heart Rate for
Paediatrics
Heart Rate
Neonate: 120-180 bpm
1mth - 1 year: 110-160 bpm
1-2 years: 100-150 bpm
2-7 years: 95-140 bpm
7-12 years: 80-120 bpm
Respiration Rate
for Paediatrics
Respiration Rate
Neonate: 40-60 bpm
1mth - 1 year: 30-40 bpm
1-2 years: 25-35 bpm
2-7 years: 25-30 bpm
7-12 years: 20-25 bpm
Tachycardia can be early sign of _ ?
This can reflect ?
Hypoxia, low perfusion,
and can reflect fever, anxiety, pain or excitement
Bradycardia ( _ bpm) in children
and neonates ( _ bpm) indicate?
Bradycardia in children <60bpm and neonates <100bpm indicates critical hypoxia and/or ischaemia
Recognizing early signs of CVS collapse
Tachycardia
Altered perfusion
* Skin: Prolonged capillary refill
* Brain: Altered level of consciousness
* Kidneys: Decreased urine output
* Pulse: Weak or thready
Recognizing Late Signs of CVS collapse
Cold & clammy skin
Poor capillary refills
Hypotension
Bradypnea (slow breathing rate)
Acidosis
Flaccid tone
Decreased response to pain
Physical Examination on Circulation
- Compensatory Phase
- Skin Perfusion
- Peripheral Pulses
Infant/young child: Brachial, femoral
Older child: Carotid - Capillary refill
(Kneecap, foot, toes, hands, forearms) - Level of consciousness
- Urine output (1-2ml/kg/hr)
**Congenital **
Cyanotic Heart Defects
The 5 Ts
ToF - Tetralogy of Fallot
ToGV - Transposition of Great Vessels
TA - Tricuspid Atresia
PTA - Persistent Truncus Arteriosus
TAPVR - Total Anomalous Pulmonary Venous Return (TAPVR)
