pediatric circulation.pptx
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This document summarizes key aspects of circulatory assessment for different age groups. It includes typical ranges for heart rate, respiratory rate, blood pressure, capillary refill time, skin color and conditions that can cause abnormalities. Age-specific guidelines are provided for heart rate during wake/sleep, locations to take pulses, and normal urine output.
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- 2. Heart rate Age Awake rate Mean Sleeping rate Newborn to 3 months 85 to 205 140 80-160 3 months to 2 years 100-190 130 75-160 2 years to 10 years 60-140 80 60-90 > 10 years 60-100 75 50-90
- 3. Central pulses Peripheral pulses Femoral Brachial ( in infant) Apical ( newborn) Carotid ( in older children) Axillary Radial Dorsalis pedis Posterior tibial
- 4. Capillary refill time Normal Prolonged <= 2 seconds > 2 seconds Causes: Low CO Dehydration shock Hypothermia.
- 5. Skin colour Pallor: Mottling Cyanosi s Decreased blood supply to skin . 1. Cold stress, shock, anemia, decreased pigmentation) Patchy discoloration of skin Normal /hypovolemia, hypoxia, shock. Acrocyanosis ( hands and feet) , common in newborn Central cyanosis ( low o2 in environment, pneumonia, asthma, CHD. Hypoventilation. Pe peripheral cyanosis: hands and feet beyond newborn period. ( CHF, shock, peripheral vascular disease.)
- 7. AGE HEART RATE(beats/min) RESPIRATORY RATE (Breaths/min) BLOOD PRESSURE (mm of Hg) Newborn 120 - 160 30 - 60 Infant 80 - 150 25 - 55 Toddler 70 - 120 20 -30 Pre-School 65 -110 20-25 School 60 - 100 14-22 Adolecent 55 - 95 12-18 Systolic bp Diastoli c bp 60-80 25-40 72-104 37-56 86-106 42-63 89-112 46-72 97-115 57-76 110- 131 64-83
- 9. Urine output