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VSS – BP, HR, Temp, RR, Sp02.

Methods of assessment
Cardiovascular – inspect colour, cap refill, oedema, hydration, palpate pulse, auscultate chest.
Respiratory – history, triggers, inspect colour, RR, sounds, Sp02, auscultate lungs for breath sounds, chest expansion
symmetry, skin, cap refill.
Gastrointestinal – look for abnormalities, palpation, reaction, pain, auscultate quadrants for bowel movement,
bowel sounds.
Renal/urinary – frequency, urgency, incontinence, fbc, hydration, weight, BP, diet, skin, urinalysis, bloods.
Musculoskeletal – gait, posture, symmetry, abnormalities, motion, joints, palpate limbs for strength, tone, pain,
tenderness.
Skin/integument – colour, bruise, wound, pressure injury, moles, palpate skin for temp, turgor, oedema,
abnormalities.
Neurological system – assess gcs, movement symmetry, pupil size, shape and reaction, observe motor skills, and
sensory functions.
Normal vitals
Children HR,RR – (1-3) 70-110HR 20-30RR, (3-6) 65-110HR 20-25RR, (6-12) 55-85HR 14-22RR.
Children

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