ADULT:

1. VITAL SIGNS
A. NORMAL TEMPERATURE VALUES FOR DIFFERENT ROUTES
(According to Harrisons 19th edition)
normal core body temperature in the range of 36.537.5C (97.799.5F).
oral temperature is 36.8 0.4C (98.2 0.7F)
Axillary temperature 0.5 C lower than oral readings.
Rectal temperatures are generally 0.4C (0.7F) higher than oral readings.
Tympanic membrane thermometers 0.8C (1.6F) lower than rectal
temperatures.
B. Respiratory Rate : 12-20 cycles/ min
C. Blood pressure: less than or equal to 120/80 mmHg
Classification of hypertension
Classification

Systolic (mmHg)

Diastolic (mmHg)

Normal

<120

and < 80

Pre-hypertension

120-139

or 80-89

Stage 1 Hypertension

140-159

or 90-99

Stage 2 Hypertension

> 160

or > 100

Isolated Systolic Hypertension

> 140

and < 90

D. Cardiac Rate:60-100 beats per minute

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2. Body Mass Index (BMI)

BMI= kg/ m2

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I. Cardiovascular System:
1. Grading of murmurs

2. Jugular venous pressure : above the sternal angle: 3 cm (normal)

total distance above the right atrium: 3 + 5 cm= 8 cm (normal)
Venous pressure measured at >3 cm, or possibly 4 cm, above the sternal angle, or
more than 8 cm or 9 cm in total distance above the right atrium, is considered elevated
above normal.
3. Arterial Pulses (Radial, Brachial, Femoral, Popliteal, Dorsalis pedis and Posterial
Tibial Pulses)

II. Gastrointestinal System

1. Liver Span
Normal values: 4-8 cm in midsternal line;
6-12 cm in right midclavicular line

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2. Bowel Sounds: Normal sounds consist of clicks and gurgles, occurring at an

estimated frequency of 5 to 34 per minute.
III. Muscle Strength

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IV. Deep Tendon Refle

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V. GRADING OF PITTING EDEMA

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