Exam
Vital Sign
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Vital Sign
See Also
Blood Pressure
Orthostatic Blood Pressure
Heart Rate
Respiratory Rate
Body Temperature
Fever
Oxygen Saturation
Pediatric Vital Signs
Pediatric Assessment Triangle
Broselow Tape
Precautions
Gene
ral
Unaddressed Vital Signs are common in
Malpractice
suits
Review nursing notes and Vital Signs throughout the clinical encounter
Repeat and review Vital Signs at discharge
Explain abnormal Vital Signs prior to discharge
Precautions
Specific Measures
Automatic
Blood Pressure
cuffs may be unreliable
Check manual
Blood Pressure
for outlying values (esp. shock, narrow
Pulse Pressure
,
Severe Hypertension
)
Oxygen Saturation
may be unreliable (e.g. shock state, nail polish)
Evaluation
Abnormal Criteria
See
Pediatric Vital Signs
Adults (18 to 65 years old)
Heart Rate
>100
Systolic
Blood Pressure
<90 mmHg
Temperature
>100.4 F (38 C)
Older Adults (>65 years, proposed changes to
Emergency Severity Index
)
Heart Rate
>90
Systolic
Blood Pressure
<110 mmHg
Temperature
>99.3 F (37.4 C)
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