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Heart Rate/Pulse & Respiratory Rate
Measure in 6 seconds (multiple by 10) or in 15 seconds (multiple by 4) to get one minute counting
Assess these vital signs when the child is resting quietly or sleeping if possible, if agitated or crying make a note.
Use a stethoscope to measure HR in kids less than 2yrs old
nlm.nih.gov/medlineplus Pluse
kidshealth.org Word! pulse
en.wikipedia.org Heart Rate
kidshealth.org Your heart & circulatory system
nlm.nih.gov/medlineplus Pulse - bounding
nlm.nih.gov/medlineplus Pulse - weak or absent
en.wikipedia.org Respiratory rate
nlm.nih.gov/medlineplusl Breathing Problems

Normal Values:

Age	P (at rest) Beats/min	RR (at rest) Breaths/min
Age	P (at rest) Beats/min	RR (at rest) Breaths/min
Newborn	100 - 180	30 - 60
6 mo	80 - 160	25 - 40
1-5 yr	80 - 130	20 - 30
6 yr	75 - 115	18 - 25
8 yr	70 - 110	18 - 25
10 yr	70 - 110	15 - 20
12 yr	F 70 -110 M 65 -105	12 - 20
14 yr	F 65 -105 M 60 -100	12 – 20
16 yr	F 60 -100 M 55 - 95	12 – 20
18 yr	F 55 - 95 M 50 - 90	12 - 20

nlm.nih.gov/medlineplus How to check radial pulse
nlm.nih.gov/medlineplus Wrist pulse

Blood Pressure (BP)
Hold forearm at the level of the heart.
Assess BP when the child is resting quietly if possible, if agitated or crying make a note
Use the correct cuff size: The width should be approximately 40 % of the circumference of the upper arm. The length should encircle 100 percent of the circumference of the upper arm. A cuff that is too small falsely elevates BP.
If BP cannot be measure in the arms, can measure on the thigh using an adult cuff, listening in the popliteal fossa. This measurement averages 10mmHg higher than BP taken in the arm
nlm.nih.gov/medlineplus Blood Pressure
funandeducation.org High Blood Pressure in Children and Teens

Age	BP (at rest) 90 th percentile (systolic/diastolic)
Age	Female	Male
Newborn	76 / 68	87 / 68
6 mo	106 / 65	105 /66
1 yr	105 / 67	105 / 69
2 yr	105 / 69	106 / 68
4 yr	107 / 69	108 / 69
6 yr	111 / 70	111 / 70
8 yr	114 / 72	114 / 73
10 yr	117 / 75	117 / 75
12 yr	122 / 78	121 / 77
14 yr	125 / 81	126 / 78
16 yr	127 / 81	131 / 81
18 yr	127 / 80	136 / 84

Pain

Pain Perception
Wong-Baker Pain Scale can be used in children >3yrs old
Be sure to note how many points the assessment is out of (ex. 3 out of 5 = 3/5)

www.sjbhealth.org Wong-Baker Pain Rating Scale
en.wikipedia.org Pain scale

Oxygen Saturation
Normal Values: 95% and above at room air

www.health.harvard.edu Oxygen saturation test
en.wikipedia.org Oxygen saturation
www.nci.nih.gov Oxygen saturation test

Temperature
http://kidshealth.org/parent/general/body/fever.html# How to take rectal, oral, and axillary temperature
http://www.novalynx.com/reference-temp-conv-table.html Temperature Conversion Chart
http://www.funandeducation.org/Health/heathinfo/general/fever.htm Fever
http://www.nlm.nih.gov/medlineplus/fever.html Fever

Heart Rate and Pulse
http://www.nlm.nih.gov/MEDLINEPLUS/ency/article/003399.htm Pulse
http://kidshealth.org/kid/word/p/word_pulse.html Word! pulse
http://en.wikipedia.org/wiki/Heart_rate Heart Rate
http://kidshealth.org/kid/cancer_center/HTBW/heart.html Your heart & circulatory system
http://www.nlm.nih.gov/medlineplus/ency/article/003077.htm Pulse - bounding
http://www.nlm.nih.gov/medlineplus/ency/article/003078.htm Pulse - weak or absent
http://www.nlm.nih.gov/medlineplus/ency/imagepages/19395.htm How to check radial pulse
http://www.nlm.nih.gov/medlineplus/ency/imagepages/9799.htm Wrist pulse

Respiratory Rate
http://en.wikipedia.org/wiki/Respiratory_rate Respiratory rate
http://www.uchicagokidshospital.org/online-library/content=P01966 Signs of Respiratory Distress
http://www.nlm.nih.gov/medlineplus/breathingproblems.html Breathing Problems

Blood Pressure
nlm.nih.gov/medlineplus Blood Pressure
funandeducation.org High Blood Pressure in Children and Teens

Oxygen Saturation
https://www.health.harvard.edu/diagnostic-tests/oxygen-saturation-test.htm Oxygen saturation test
http://en.wikipedia.org/wiki/Oxygen_saturation Oxygen saturation
http://www.nci.nih.gov/Templates/db_alpha.aspx?CdrID=476163 Oxygen saturation test

Pain Perception
www.sjbhealth.org/documents/Pain%20Scale.pdf Wong-Baker Pain Rating Scale
http://en.wikipedia.org/wiki/Pain_scale Pain scale

Can use a children’s BMI table to estimate: http://pediatrics.about.com/library/growth_charts/n_bmi_tables.htm