Vital signs refer to physiological statistics, taken by doctor, or health professional, to access over all health. Case presentation requires record of vital signs. The Pediatric vital signs includes temperature, weight, heart rate, height, blood pressure as well as respiration rate according to age. Pediatric vital signs depends on age and body conditions. Pediatric vital signs may be varying from person to person.  It is important to consider normal ranges. Do not record body temperature, heart rate, or blood pressure in case of fever, illness or other diseases.The first important recording of Pediatric vital signs is heart rate. Heart rate or pulse is very important sign of health. Heart rate recorded as total beat per minutes. Standard limit according to age are as, under one year old child should be in between100-160. As age increase, pulse decreases. At the age of one to three years, it should in between 90-140.In addition, up to five years it should falls in between 80-130.Blood pressure is another Pediatric vital signs. For premature it should in between 55/35, or 75/45. Up to three months old it falls in between 65/45+, and under one the range is 90/ 60. Up to three years of age, it may fall in between, 100/60. Respiration rate is another vital sign to predict health. It should record up to one minute. For premature it falls in between 40-70 breaths per minute. For three months old, it should be 35-55, and up to one year, the limit is 25-40 per minutes. One to three years it ranges from 20-30. Increase in breathing may caused by nasal flaring, or grunting. Emotions like anger, joy, shock, accident may increase or decrease pulse rate. Some other factors may effect pulse rate are; injury, disease or illness.  Body temperature varies according to gender, activities, body weight, food etc. fever can detected by body temperature. If it decreases, it may leads to hypothermia. Body weight indicates normal health and physical growth it is very important to keep eye at body weight. Increase or decrease in body weight may lead to many physiological problems. Height is also vital sign to detect body progress and health. Pediatric vital signs should record every month, especially during first six months. After that, they must consider periodically. Make a proper chart for all recordings for future reference. 


 

Vital signs are measures of various physiological statistics. Health professionals perform it in order to assess basic body functions take them. Vital signs are an essential part of a case presentation. Taking vital signs usually involves recording body temperature, pulse rate (or heart rate), blood pressure, and respiratory rate. Vital signs often vary by age. These vital signs usually remain relatively constant throughout an adult life. However in children, as they grow, the normal range changes. The table below summarizes some changes that are likely to occur.

Age (yr)	Respiratory Rate (breaths/min)	Heart Rate (beats/min)
< 1	30 - 60	100 - 160
1 - 2	24 - 40	90 - 150
2 - 5	22 - 34	80 - 140
6 - 12	18 - 30	70 - 120
> 12	12 - 16	60 - 100

Lower limits of systolic pressure

0 - 28 days: 60 mm Hg

1 - 12 months: 70 mm Hg

1 - 10 years: 70 mm Hg + (2¥ age in years)

Reference: Rosen's Emergency Medicine: Concepts and Clinical Practice 5th Edition

Vital Signs at Various Ages

These were the normal vital signs for pediatrics. They are arranged with their readings and corresponding age group. It is important to remember that a 'normal' for each individual may differ strongly. With the possible differences, depending upon individuals, a result should be interpreted independently. How to take pediatric vital signs is the prerogative and thing of expertise of a medical practitioner. He or she is the best judge of the medical condition in case of measurements and methods of these vital signs. For instance, a gynecologist is the best person to comment upon the health of a baby.