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Vital signs

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Average respiratory rates vary between ages, but the normal reference range for people age 18 to 65 is 16–20 breaths per minute. The value of respiratory rate as an indicator of potential respiratory dysfunction has been investigated but findings suggest it is of limited value. Respiratory rate is a
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or resting pressure. In adults, a normal blood pressure is 120/80, with 120 being the systolic and 80 being the diastolic reading. Usually, the blood pressure is read from the left arm unless there is some damage to the arm. The difference between the systolic and diastolic pressure is called the
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arteries). The pulse is taken with the index finger and middle finger by pushing with firm yet gentle pressure at the locations described above, and counting the beats felt per 60 seconds (or per 30 seconds and multiplying by two). The pulse rate can also be measured by listening directly to the
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The pulse is the rate at which the heart beats while pumping blood through the arteries, recorded as beats per minute (bpm). It may also be called "heart rate". In addition to providing the heart rate, the pulse should also be evaluated for strength and obvious rhythm abnormalities. The pulse is
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Temperature can be measured from the mouth, rectum, axilla (armpit), ear, or skin. Oral, rectal, and axillary temperature can be measured with either a glass or electronic thermometer. Note that rectal temperature measures approximately 0.5 °C higher than oral temperature, and axillary
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units of pressure are used. There is no natural 'normal' value for blood pressure, but rather a range of values that on increasing are associated with increased risks. The guideline acceptable reading also takes into account other co-factors for disease. Therefore, elevated blood pressure
513:. In contrast to the traditional vital signs, these measurements are not useful for assessing acute changes in state because of the rate at which they change; however, they are useful for assessing the impact of prolonged illness or chronic health problems. 98:(life-sustaining) functions. These measurements are taken to help assess the general physical health of a person, give clues to possible diseases, and show progress toward recovery. The normal ranges for a person's vital signs vary with age, weight, 241:
While 37 °C (99 °F) is considered "normal" body temperature, there is some variance between individuals. Most have a normal body temperature set point that falls within the range of 36.0 to 37.5 °C (96.8 to 99.5 °F).
332:(6–⁠12 months old) a heart rate of 80–140 bpm. A child aged 1–⁠3 years old can have a heart rate of 80–⁠130 bpm, a child aged 3–⁠5 years old a heart rate of 80–⁠120 bpm, an older child (age of 6–10) a heart rate of 70–⁠110 bpm, and an 263:
It is also recommended to review the trend of the patient's temperature over time. A fever of 38 °C does not necessarily indicate an ominous sign if the patient's previous temperature has been higher.
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While monitoring has traditionally been done by nurses and doctors, a number of companies are developing devices that can be used by consumers themselves. These include Cherish Health,
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temperature approximately 0.5 °C less than oral temperature. Aural and skin temperature measurements require special devices designed to measure temperature from these locations.
133:), often notated as BT, BP, HR, and RR. However, depending on the clinical setting, the vital signs may include other measurements called the "fifth vital sign" or "sixth vital sign." 1311: 1475: 1506:
American College of Obstetricians and Gynecologists. (2015). "Menstruation in girls and adolescents: using the menstrual cycle as a vital sign. Committee Opinion No. 651".
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In the U.S., in addition to the above four, many providers are required or encouraged by government technology-in-medicine laws to record the patient's height, weight, and
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Holcomb JB, Salinas J, McManus JM, Miller CC, Cooke WH, Convertino VA (2005). "Manual vital signs reliably predict need for life-saving interventions in trauma patients".
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have been proposed that combine the individual values of vital signs into a single score. This was done in recognition that deteriorating vital signs often precede
1811: 1533:(5). American Academy of Pediatrics, Committee on Adolescence, American College of Obstetricians and Gynecologists, Committee on Adolescent Health Care. 2006. 1074: 956:. These allow for continuous monitoring of a patient, with medical staff being continuously informed of the changes in the general condition of a patient. 1671: 2535: 944:. Multimodal monitors that simultaneously measure and display the relevant vital parameters are commonly integrated into the bedside monitors in 234:
Temperature can be recorded in order to establish a baseline for the individual's normal body temperature for the site and measuring conditions.
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Lorenz KA, Sherbourne CD, Shugarman LR, Rubenstein LV, Wen L, Cohen A, Goebel JR, Hagenmeier E, Simon B, Lanto A, Asch SM (1 May 2009).
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based on subjective patient reporting and may be unreliable. Some studies show that recording pain routinely may not change management.
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Children and infants have respiratory and heart rates that are faster than those of adults as shown in the following table :
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The main reason for checking body temperature is to solicit any signs of systemic infection or inflammation in the presence of a
1094:"Acute care toolkit 6: the medical patient at risk: recognition and care of the seriously ill or deteriorating medical patient" 2390: 2331: 2045: 1059: 2988: 320:. The pulse may vary due to exercise, fitness level, disease, emotions, and medications. The pulse also varies with age. A 3006: 2929: 249:. Fever is considered temperature of 37.8 °C (100.0 °F) or above. Other causes of elevated temperature include 2288: 1815: 2293: 1312:"What should I include when I record vital signs of my patients for MU? - Providers & Professionals - HealthIT.gov" 2917: 2828: 1287: 422: 404: 3001: 2472: 2950: 2810: 2492: 2460: 2576: 2201: 1001: 400: 148: 1812:"Nursing care of dyspnea: the 6th vital sign in individuals with chronic obstructive pulmonary disease (COPD)" 3059: 2438: 2423: 2161: 1675: 517: 498: 2413: 1093: 1049: 555: 396: 31: 253:, which results from unregulated heat generation or abnormalities in the body's heat exchange mechanisms. 2443: 481:) is variously defined when the systolic number is persistently over 140–160 mmHg. Low blood pressure is 2797: 17: 1052:
National Early Warning Score (NEWS): standardising the assessment of acute-illness severity in the NHS
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Mower W, Sachs C, Nicklin E, Baraff L (1997). "Pulse oximetry as a fifth pediatric vital sign".
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There is no standard "sixth vital sign"; its use is more informal and discipline-dependent.
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clear indicator of acidotic states, as the main function of respiration is removal of CO
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National Early Warning Score Development and Implementation Group (NEWSDIG) (2012).
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Vardi A, Levin I, Paret G, Barzilay, Z (2000). "The sixth vital sign: end-tidal CO
1428:"Measuring pain as the 5th vital sign does not improve quality of pain management" 539:
is considered a standard fifth vital sign in some organizations, such as the U.S.
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pressure, which occurs during the maximal contraction of the heart, and the lower
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The definition of vital signs may also vary with the setting of the assessment.
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There are four primary vital signs which are standard in most medical settings:
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Manual sphygmomanometer and stethoscope used to take blood pressure in clinic.
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can assess and treat a deteriorating patient and prevent adverse outcomes.
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Mularski RA, White-Chu F, Overbay D, Miller L, Asch SM, Ganzini L (2006).
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may be required for a clinician to take a patient's apical pulse.
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Mower W, Myers G, Nicklin E, Kearin K, Baraff L, Sachs C (1998).
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The "fifth vital sign" may refer to a few different parameters.
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sphygmomanometer, using a column of mercury measured off in
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Clinical guideline 50: Acutely ill patients in hospital
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Oral glass thermometer showing a body temperature in °F
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Studenski S, Perera S, Wallace D, et al. (2003).
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LeBlond RF, Brown DD, Suneja M, Szot JF (2014-09-05).
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Journal of the American Medical Directors Association
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National Institute for Health and Clinical Excellence
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Blood pressure is recorded as two readings: a higher
328:(0–⁠5 months old) a heart rate of 90–⁠150 bpm, and a 928:
of vital parameters most commonly includes at least
1814:. National Guideline Clearinghouse. Archived from 1099:. Royal College of Physicians of London. May 2013. 1885: 3046: 1720: 1700:in pediatric trauma patients during transport". 1364:"How Reliable is Pain as the Fifth Vital Sign?" 90:) are a group of the four to six most crucial 77:assess the general physical health of a person 2536: 2039: 1182:"Vital Signs: How to Check My Vitals at Home" 1158:"Apical Pulse: What It Is and How to Take It" 282:An individual taking their own radial pulse. 403:. Unsourced material may be challenged and 200:. Although a pulse can be taken by hand, a 2543: 2529: 2046: 2032: 1335:Emergency Care, 11th edition, pp. 226–244. 324:can have a heart rate of 100–⁠160 bpm, an 47: 1787: 1764:"Functional Status: The Sixth Vital Sign" 1761: 1647: 1598: 1561: 1451: 1379: 1045: 1043: 423:Learn how and when to remove this message 355:leaving bicarbonate base in circulation. 1402: 434: 291:). Alternative sites include the elbow ( 277: 225: 219:, which is normally tightly controlled ( 1939: 1937: 1935: 1933: 1931: 1929: 1927: 1925: 1923: 1921: 1886:Bellelli G, Trabucchi M (May 1, 2008). 1632:"Routine oximetry. A fifth vital sign?" 1068: 1054:. London: Royal College of Physicians. 94:that indicate the status of the body's 61:of several vital parameters, including 14: 3047: 1629: 1040: 464:. The classic measurement device is a 154: 2524: 2391:Artificial intelligence in healthcare 2027: 1269: 1267: 1265: 1250: 1248: 1246: 1244: 1242: 1240: 1215: 1213: 1211: 1209: 1207: 1205: 1203: 1201: 489:and are used to evaluate blockage or 1918: 1674:. University of Hull. Archived from 1346:"Pain as the 5Th Vital Sign Toolkit" 605: 572: 527: 401:adding citations to reliable sources 368: 2930:Upper limb neurological examination 1995:. U.S. National Library of Medicine 1986: 339: 24: 2466:reform debate in the United States 1888:"Delirium as the Sixth Vital Sign" 1563:10.1111/j.1553-2712.1998.tb02813.x 1262: 1237: 1198: 1086: 1034:"Vital Signs Table - ProHealthSys" 25: 3071: 2493:(Category Health care by country) 1741:10.1097/01.ta.0000188125.44129.7c 365:Blood pressure § Measurement 358: 2505: 2504: 1857:10.1046/j.1532-5415.2003.51104.x 1780:10.1111/j.1525-1497.2001.10918.x 1444:10.1111/j.1525-1497.2006.00415.x 1276:DeGowin's diagnostic examination 373: 2951:Ballard Maturational Assessment 2811:Peripheral vascular examination 2053: 2007: 1980: 1968: 1956: 1898:(4): 279, author reply 279–80. 1879: 1829: 1804: 1755: 1689: 1664: 1623: 1578: 1537: 1518: 1499: 1468: 1419: 1396: 1355: 1338: 1329: 1304: 1174: 2577:History of the present illness 2202:Academic health science centre 1735:(4): 821–8, discussion 828–9. 1403:Wellbery C (15 October 2006). 1150: 1125: 1103: 1026: 1008: 994: 543:. Pain is measured on a 0–⁠10 504: 207: 13: 1: 2918:Mini–mental state examination 2829:Ankle–brachial pressure index 2439:Health information management 2424:health information technology 2162:Health information management 988: 920: 518:Emergency medical technicians 499:Ankle brachial pressure index 287:commonly taken at the wrist ( 2414:Translational bioinformatics 1381:10.3122/jabfm.2009.03.080162 57:with integrated systems for 32:Vital signs (disambiguation) 7: 2444:Consumer health informatics 1904:10.1016/j.jamda.2007.08.014 1278:(10th ed.). 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Used appropriately, a 143:and/or admission to the 2997:Athletic heart syndrome 2382:Medical image computing 2332:Artificial intelligence 1649:10.1378/chest.94.2.227a 1225:www.hopkinsmedicine.org 1137:www.hopkinsmedicine.org 762:Normal respiratory rate 215:gives an indication of 129:), and breathing rate ( 3034:Differential diagnosis 2969:Well-woman examination 2419:Translational medicine 1944:PEDIATRIC AGE SPECIFIC 936:, and preferably also 440: 283: 231: 2408:Computational biology 2309:Universal precautions 1609:10.1542/peds.99.5.681 1280:McGraw-Hill Education 764:(breaths per minute) 438: 281: 229: 217:core body temperature 213:Temperature recording 3060:Physical examination 3002:Sudden cardiac death 2885:Shoulder examination 2824:Abdominojugular test 2657:Physical examination 2604:Past medical history 2402:Behavior informatics 946:intensive care units 397:improve this section 299:), behind the knee ( 137:Early warning scores 30:For other uses, see 3021:Assessment and plan 2806:Cardiac examination 2751:Swinging light test 2619:Psychiatric history 2552:Medical examination 2386:imaging informatics 2294:Cultural competence 950:anesthetic machines 759:(beats per minute) 615: 614:for blood pressure 594:Shortness of breath 303:), or in the foot ( 155:Primary vital signs 149:rapid response team 145:intensive care unit 111:primary vital signs 2979:Breast examination 2854:Rectal examination 2788:Respiratory sounds 2587:Nursing assessment 2372:Health informatics 2147:Healthcare science 1949:2017-05-16 at the 1762:Bierman A (2001). 1708:(3–4): 85–7, 168. 1368:J Am Board Fam Med 1113:. 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2753: 2748: 2746:Ophthalmoscopy 2737: 2735: 2729: 2728: 2726: 2725: 2720: 2718:Blood pressure 2715: 2710: 2704: 2702: 2696: 2695: 2693: 2692: 2687: 2682: 2677: 2671: 2669: 2659: 2653: 2652: 2650: 2649: 2648: 2647: 2644: 2639: 2634: 2626: 2624:Progress notes 2621: 2616: 2614:Social history 2611: 2609:Family history 2606: 2601: 2600: 2599: 2589: 2584: 2582:Systems review 2579: 2574: 2568: 2566: 2560: 2559: 2556:history taking 2548: 2547: 2540: 2533: 2525: 2516: 2515: 2513: 2512: 2501: 2498: 2497: 2495: 2490: 2485: 2480: 2475: 2473:United Kingdom 2470: 2469: 2468: 2458: 2456: 2452: 2451: 2447: 2446: 2441: 2436: 2431: 2426: 2421: 2416: 2411: 2405: 2399: 2393: 2388: 2378: 2377: 2376: 2374: 2368: 2367: 2365: 2364: 2359: 2354: 2349: 2344: 2342:Digital health 2339: 2334: 2329: 2327:3D bioprinting 2323: 2321: 2315: 2314: 2312: 2311: 2306: 2301: 2296: 2291: 2289:Bedside manner 2285: 2283: 2279: 2278: 2276: 2275: 2270: 2265: 2260: 2255: 2250: 2245: 2240: 2235: 2229: 2227: 2223: 2222: 2220: 2219: 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2994: 2992: 2990: 2986: 2980: 2977: 2975: 2972: 2970: 2967: 2966: 2964: 2962: 2961:Gynecological 2958: 2952: 2949: 2947: 2944: 2943: 2941: 2937: 2931: 2928: 2926: 2923: 2919: 2916: 2915: 2914: 2913:Mental status 2911: 2910: 2908: 2906: 2902: 2896: 2893: 2891: 2888: 2886: 2883: 2881: 2878: 2876: 2873: 2872: 2870: 2866: 2860: 2857: 2855: 2852: 2850: 2847: 2846: 2844: 2842: 2838: 2830: 2827: 2825: 2822: 2821: 2819: 2817: 2814: 2812: 2809: 2807: 2804: 2803: 2801: 2799: 2795: 2789: 2786: 2785: 2783: 2781: 2777: 2769: 2766: 2764: 2761: 2760: 2759: 2756: 2752: 2749: 2747: 2744: 2743: 2742: 2739: 2738: 2736: 2734: 2730: 2724: 2721: 2719: 2716: 2714: 2711: 2709: 2706: 2705: 2703: 2701: 2697: 2691: 2688: 2686: 2683: 2681: 2678: 2676: 2673: 2672: 2670: 2668: 2663: 2660: 2658: 2654: 2645: 2643: 2640: 2638: 2635: 2633: 2630: 2629: 2627: 2625: 2622: 2620: 2617: 2615: 2612: 2610: 2607: 2605: 2602: 2598: 2595: 2594: 2593: 2590: 2588: 2585: 2583: 2580: 2578: 2575: 2573: 2570: 2569: 2567: 2565: 2561: 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2107: 2104: 2102: 2099: 2097: 2094: 2092: 2089: 2087: 2084: 2082: 2079: 2077: 2074: 2072: 2069: 2067: 2064: 2063: 2060: 2056: 2049: 2044: 2042: 2037: 2035: 2030: 2029: 2026: 2017:. 2019-07-23. 2016: 2010: 1994: 1990: 1983: 1976: 1971: 1964: 1959: 1952: 1948: 1945: 1940: 1938: 1936: 1934: 1932: 1930: 1928: 1926: 1924: 1922: 1913: 1909: 1905: 1901: 1897: 1893: 1889: 1882: 1874: 1870: 1866: 1862: 1858: 1854: 1850: 1846: 1839: 1832: 1818:on 2009-01-17 1817: 1813: 1807: 1799: 1795: 1790: 1785: 1781: 1777: 1774:(11): 785–6. 1773: 1769: 1765: 1758: 1750: 1746: 1742: 1738: 1734: 1730: 1723: 1715: 1711: 1707: 1703: 1692: 1678:on 2016-08-17 1677: 1673: 1667: 1659: 1655: 1650: 1645: 1641: 1637: 1633: 1626: 1618: 1614: 1610: 1606: 1601: 1596: 1592: 1588: 1581: 1573: 1569: 1564: 1559: 1556:(9): 858–65. 1555: 1551: 1547: 1540: 1532: 1528: 1521: 1513: 1509: 1502: 1488:on 2012-05-26 1484: 1477: 1471: 1463: 1459: 1454: 1449: 1445: 1441: 1438:(6): 607–12. 1437: 1433: 1429: 1422: 1414: 1410: 1406: 1399: 1391: 1387: 1382: 1377: 1373: 1369: 1365: 1358: 1347: 1341: 1332: 1318:on 2018-03-25 1317: 1313: 1307: 1299: 1295: 1291: 1289:9780071814478 1285: 1281: 1277: 1270: 1268: 1266: 1258:. 2019-07-23. 1257: 1251: 1249: 1247: 1245: 1243: 1241: 1226: 1222: 1216: 1214: 1212: 1210: 1208: 1206: 1204: 1202: 1187: 1183: 1177: 1163: 1159: 1153: 1138: 1134: 1128: 1112: 1111:"Vital Signs" 1106: 1095: 1089: 1082: 1081: 1076: 1071: 1063: 1057: 1053: 1046: 1044: 1035: 1029: 1021: 1017: 1011: 1003: 1002:"Vital Signs" 997: 993: 984: 981: 979: 976: 974: 971: 970: 964: 962: 957: 955: 951: 947: 943: 939: 935: 931: 927: 913: 910: 907: 904: 901: 900: 896: 893: 890: 887: 884: 883: 879: 876: 873: 870: 867: 866: 862: 859: 856: 853: 850: 849: 845: 842: 839: 836: 833: 832: 828: 825: 822: 819: 816: 815: 811: 808: 805: 802: 799: 798: 794: 791: 788: 785: 782: 781: 777: 774: 771: 768: 767: 752: 749: 741: 738: 735: 732: 729: 726: 725: 721: 718: 715: 712: 710:6 to 13 years 709: 706: 705: 701: 698: 695: 692: 689: 687:Preschoolers 686: 685: 681: 678: 675: 672: 669: 666: 665: 661: 658: 655: 652: 649: 646: 645: 641: 638: 635: 632: 631: 617: 613: 600: 597: 595: 592: 589: 587: 580: 579: 578: 567: 566:Blood glucose 564: 561: 557: 554: 552: 549: 546: 542: 538: 535: 534: 533: 525: 523: 519: 514: 512: 502: 500: 496: 492: 488: 484: 480: 475: 471: 467: 463: 459: 455: 450: 446: 437: 427: 424: 416: 406: 402: 398: 392: 391: 387: 382:This section 380: 376: 371: 370: 366: 356: 347: 337: 335: 331: 327: 323: 319: 315: 310: 306: 302: 298: 295:), the neck ( 294: 290: 289:radial artery 280: 275: 265: 261: 259: 254: 252: 248: 243: 239: 235: 228: 224: 222: 218: 214: 205: 203: 199: 195: 191: 184: 181: 179: 176: 174: 170: 167: 165: 162: 161: 160: 152: 150: 146: 142: 138: 134: 132: 128: 124: 120: 116: 112: 107: 105: 101: 97: 93: 92:medical signs 89: 85: 76: 72: 68: 64: 60: 56: 50: 45: 40: 37: 33: 19: 2905:Neurological 2859:Bowel sounds 2816:Heart sounds 2699: 2680:Auscultation 2429:Telemedicine 2362:Telemedicine 2357:Nanomedicine 2193:Nursing home 2009: 1997:. Retrieved 1992: 1982: 1974: 1970: 1962: 1958: 1895: 1891: 1881: 1848: 1844: 1831: 1820:. Retrieved 1816:the original 1806: 1771: 1767: 1757: 1732: 1728: 1722: 1705: 1701: 1691: 1680:. Retrieved 1676:the original 1666: 1639: 1635: 1625: 1593:(5): 681–6. 1590: 1586: 1580: 1553: 1549: 1539: 1530: 1526: 1520: 1511: 1507: 1501: 1490:. Retrieved 1483:the original 1470: 1435: 1431: 1421: 1412: 1408: 1398: 1371: 1367: 1357: 1340: 1331: 1320:. Retrieved 1316:the original 1306: 1275: 1228:. Retrieved 1224: 1189:. Retrieved 1185: 1176: 1165:. Retrieved 1161: 1152: 1141:. Retrieved 1139:. 2022-06-14 1136: 1127: 1115:. 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Index

Vital sign
Vital signs (disambiguation)

anesthetic machine
monitoring
blood pressure
heart rate
medical signs
vital
sex
health
body temperature
blood pressure
pulse
heart rate
respiratory rate
Early warning scores
cardiac arrest
intensive care unit
rapid response team
Body temperature
Heart rate
Pulse
Respiratory rate
Blood pressure
thermometer
sphygmomanometer
watch
stethoscope
Temperature recording

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