Misplaced Pages

Vital signs: Difference between revisions

Article snapshot taken from Wikipedia with creative commons attribution-sharealike license. Give it a read and then ask your questions in the chat. We can research this topic together.
Browse history interactively← Previous editNext edit →Content deleted Content addedVisualWikitext
Revision as of 21:19, 1 May 2007 editDelldot (talk | contribs)Administrators47,018 edits + table, content, copy edit← Previous edit Revision as of 23:11, 1 May 2007 edit undoDavidruben (talk | contribs)Extended confirmed users18,994 edits →Variations by age: looks awkward right aligned on pageNext edit →
Line 33: Line 33:


==Variations by age== ==Variations by age==
⚫ Children and infants have respiratory and heart rates that are faster than those of adults as shown in the following table:
{| align="right" border="1" cellpadding="2" style="text-align:center" {| align="center" border="1" cellpadding="2" style="text-align:center"
!width="125"|Age !width="125"|Age
!width="125"|Normal heart rate (beats per minute)<ref>''Emergency Care'', Page 214</ref> !width="125"|Normal heart rate (beats per minute)<ref>''Emergency Care'', Page 214</ref>
!width="125"|Normal respiratory rate (breaths per minute)<ref>''Emergency Care'', Page 215</ref> !width="125"|Normal respiratory rate (breaths per minute)<ref>''Emergency Care'', Page 215</ref>
|- |-
|newborn || 120-160 || 30-50 |Newborn || 120-160 || 30-50
|- |-
|0-5 months || 90-140 || 25-40 |0-5 months || 90-140 || 25-40
Line 54: Line 55:
|14+ years || 60-100 || 12-20 |14+ years || 60-100 || 12-20
|} |}
⚫ Children and infants have respiratory and heart rates that are faster than those of adults. At right is a table showing normal heart and respiratory rates for people of different ages.


==See also== ==See also==

Revision as of 23:11, 1 May 2007

This article is about vital signs in medicine. For other uses of the term, see Vital signs (disambiguation).

Vital signs are often taken by health professionals in order to assess the most basic body functions. Vital signs are an essential part of a case presentation.

Primary four

There are four vital signs which are standard in most medical settings:

  1. Temperature examination for normal temperature.
  2. Pulse rate (or heart rate).
  3. Blood pressure.
  4. Respiratory rate.

The equipment needed is a thermometer, a sphygmomanometer, and a watch.

Though a pulse can often be taken by hand, a stethoscope may be required for a patient with a very weak pulse.

Additional signs

Fifth sign

The phrase "fifth vital sign" usually refers to pain, as perceived by the patient on a Pain scale of 0-10. For example, the Veterans Administration made this their policy in 1999. However, some doctors have noted that pain is actually a subjective symptom, not an objective sign, and therefore object to this classification.

Other sources include pulse oximetry as their fifth sign.

Some sources consider pupil size, equality, and reactivity to light to be a vital sign as well.

Sixth sign

There is no standard "sixth vital sign", and the use is much more informal and discipline-dependent than with the above, but some proposals (excluding the fifth sign candidates above) include:

Variations by age

Children and infants have respiratory and heart rates that are faster than those of adults as shown in the following table:

Age Normal heart rate (beats per minute) Normal respiratory rate (breaths per minute)
Newborn 120-160 30-50
0-5 months 90-140 25-40
6-12 months 80-140 20-30
1-3 years 80-130 20-30
3-5 years 80-120 20-30
6-10 years 70-110 15-30
11-14 years 60-105 12-20
14+ years 60-100 12-20

See also

References

  1. Harold S. Lee. November 2004. Physical Diagnosis 101: A Lesson From the First Year of Medical School, in Letters to the Editor. American Society of Anesthesiologists, Volume 68, Number 11.
  2. Mower W, Myers G, Nicklin E, Kearin K, Baraff L, Sachs C (1998). "Pulse oximetry as a fifth vital sign in emergency geriatric assessment". Acad Emerg Med. 5 (9): 858–65. PMID 9754497.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  3. Mower W, Sachs C, Nicklin E, Baraff L (1997). "Pulse oximetry as a fifth pediatric vital sign". Pediatrics. 99 (5): 681–6. PMID 9113944.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  4. Neff T (1988). "Routine oximetry. A fifth vital sign?". Chest. 94 (2): 227. PMID 3396392.
  5. Daniel Limmer and Michael F. O'Keefe. 2005. Emergency Care 10th ed. Edward T. Dickinson, Ed. Pearson, Prentice Hall. Upper Saddle River, New Jersey. Page 212 and 218.
  6. Joseph A (2003). "Continence: the sixth vital sign?". Am J Nurs. 103 (7): 11. PMID 12865635.
  7. Vardi A, Levin I, Paret G, Barzilay Z (2000). "The sixth vital sign: end-tidal CO2 in pediatric trauma patients during transport". Harefuah. 139 (3–4): 85–7, 168. PMID 10979461.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  8. Bultz B, Carlson L (2006). "Emotional distress: the sixth vital sign--future directions in cancer care". Psychooncology. 15 (2): 93–5. PMID 16444764. link
  9. http://www.ohsu.edu/medicine/residency/handouts/0405handouts/COPD091304.ppt
  10. http://www.medicine.uiowa.edu/cme/about/documents/PrintHandout.ppt
  11. Bierman A (2001). "Functional status: the sixth vital sign". J Gen Intern Med. 16 (11): 785–6. PMID 11722694. link
  12. Emergency Care, Page 214
  13. Emergency Care, Page 215

External links

Categories: