Paediatrics - Queensland Health - Queensland Government
Paediatrics - Queensland Health - Queensland Government
Paediatrics - Queensland Health - Queensland Government
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Paediatric presentation<br />
Standard clinical observations and other vital signs - child<br />
Approximate normal physiological ranges for a child<br />
Parameter<br />
Normal range<br />
12 years<br />
HR<br />
(beats per min)<br />
110 - 160 100 - 150 95 - 140 80 - 120 60 - 100<br />
Respiration rate<br />
Standard clinical (breaths / min)<br />
30 - 40 25 - 35 25 - 30 20 - 25 15 - 20<br />
observations<br />
Axilla - clinically significant fever > 37.8°C (37.2°C *)<br />
Temperature<br />
Sublingual - clinically significant fever > 38.0°C (37.5°C *)<br />
Rectal - clinically significant fever > 38.5°C (38.0°C *)<br />
* clinically significant fever lower in infants < 3 months of age<br />
Blood pressure Systolic > Systolic > Systolic > Systolic > Systolic ><br />
(mmHg)<br />
60 70 75 80 90<br />
Respiratory<br />
distress<br />
Nil<br />
Other vital signs<br />
if indicated<br />
546<br />
O 2 saturation (%) > 95%<br />
Capillary refill time Less than or equal to 2 secs<br />
Level of<br />
consciousness<br />
Blood glucose<br />
level<br />
Glasgow coma scale 15<br />
AVPU tool - alert<br />
4 - 8 mmol (random capillary)<br />
Controlled copy V1.0<br />
[1] [8]<br />
Pain assessment in a child<br />
Rate pain level in children using faces, numbers and behavioural observations. Physiological<br />
changes e.g. altered HR, RR, BP are not good indicators to use in isolation [2]. Non - verbal<br />
children are very vulnerable to having their pain under estimated [2]<br />
• Refer to Children’s Early Warning tools (CEWT) for pain assessment tools<br />
Pain rating scale for children<br />
Primary Clinical Care Manual 2011
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