Which of the following is a normal respiratory rate for an adult at rest EMT?

Vital signs can vary between a patient’s age and gender, so it’s important to know the difference in values. Below is a list of normal vital signs for each age range and gender.

Pulse

  • Elderly (over 75 years): 90 bpm
  • Adults: 60-100 bpm
  • Adolescents: 60-105 bpm
  • Children (5-12 years): 60-120 bpm
  • Children (1-5 years): 80-150 bpm
  • Infants: 120-150 bpm

Respirations

  • Adults: 12-20 per minute
  • Children: 15-30 per minute
  • Infants: 25-50 per minute

Blood Pressure

  • Adults (Male): 100 + age in years to age 40 / 60-90 mmHg
  • Adults (Female): 90 + age in years to age 40 / 60-90 mmHg
  • Adolescents: 90 (lower limit of normal) / 2/3 of systolic pressure
  • Children (1-10 years):
    • 90 + (2 x age in years) (upper limit of normal) / 2/3 of systolic pressure
    • 70 + (2 x age in years) (lower limit of normal) / 2/3 of systolic pressure
  • Infants: 70 (lower limit of normal) / 2/3 of systolic pressure

Capillary Refill

  • Elderly: 4 seconds
  • Adults (Male): 2 seconds
  • Adults (Female): 3 seconds
  • Children: 2 seconds
  • Infants: 2 seconds

Eyes

  • Adults, Children and Infants: PERL at 3-4 mm

Skin

  • Adults, Children and Infants: Pink, warm and dry

O2 Saturation (SpO2)

  • Adults, Children and Infants: 97-100%

According to research, many hospitals do not take a record our respiratory rate, yet they do for other vital signs. This is significant because there is evidence that an abnormal respiratory rate “is the most significant predictor of critical illness”.

The importance of your respiratory rate

Birmingham City Hospital confirms in research that respiratory rate is an early indicator of physiological deterioration. As a result, it is a good idea to record it along with other vital signs, in patients arriving at Accident and Emergency. NICE guidelines for Recognising and responding to acute illness in adults in hospital state that as a minimum, respiratory rate should be one of the physiological observations that are recorded at initial assessment and as part of routine monitoring.

What is a normal respiratory rate? 

According to the EWS System (Early Warning Systems), normal respiratory rate is 9 – 14 breaths per minute. A report reveals that a respiratory rate higher than 27 breaths per minute is the most important predictor of cardiac arrest in hospital wards. When recording respiratory rate as a vital sign, recording depth of breathing is also a good idea. This might be noted as ‘shallow breathing’, ‘normal breathing’, or ‘deep breathing’. Also worth noting is whether the accessory muscles are being used, such as the tightening of the neck muscles. This is better known as the “look, “listen” and “feel” approach to respiratory assessment.

Why is breathing rate important?

If breathing rate is considered to be a vital clinical parameter, then it could be a partial indicator of your level of health and fitness. The number of breaths you take per minute is a sign of how often your brain is telling your body to breathe. A ‘normal respiratory rate’ is a guideline measurement that has come about by taking an average of the whole research.

How to take your own respiratory rate

To calculate your own respiratory rate, simply count the number of times your abdomen (or chest) rises and falls within one minute. This rate varies according to your level of activity and age.

Because your breathing is automatic and you breathe without really thinking about it, when you come to measure your breathing rate you may notice that you’re not breathing ‘normally’. This is simply because you are being particularly conscious and aware of just how you are breathing at that point. Therefore, it is probably better to have a healthcare professional check your respiratory rate for you. This is because a healthcare professional is trained to measure your respiratory rate, sometimes without you even realising it.

Although your breathing is automatic and you make no real conscious effort to breathe (unless you suffer with breathing difficulties), you may think that it is impossible to influence how well you breathe. But it is something you can positively influence. POWERbreathe inspiratory muscle training provides a physical solution to helping you make a conscious effort to control and improve your breathing.

There are many more Breathing Facts that you may find interesting.

POWERbreathe IMT can help you to control your breathing rate

POWERbreathe inspiratory muscle training could help you to control your breathing rate. This is because it will teach you how to breathe in deeply and more fully. It will also strengthen your breathing muscles. This is because you breathe in through the device against a resistance – just like dumbbells for your diaphragm. However, after a deep inhale, your exhale is then released in a normal, relaxed manner. This combination of a deep, full breath which you then exhale at a more natural rate, may help to slow down your rate of breathing.

The POWERbreathe K-Series range of IMT devices provide personalised respiratory coaching. Each device is completely adaptable, comfortable to use and includes breathing pacing guidance which helps you to breathe at an appropriate rate. The POWERbreathe K-Series is suitable for virtually everyone and includes features such as:

  1. Auto Adjustment: Automatically estimates your breathing load requirements based upon the first two un-loaded breaths of each training session. This takes the guess work out of where to start in your breathing training and how quickly to progress.
  2. Manual Adjustment: For those who prefer greater control, this allows you to set and adjust the breathing training load and intensity yourself.
  3. Resistance Loads: 5 – 200 cmH2O i.e. Very Light; Light; Moderate; Hard; Very Hard.

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What are the EMT vital signs?

Normal Vital Signs.
Breathing. 12-20 per min for adults. 20-30 for small children. > ... .
Pulse. 60-80 per min for adults. ... .
Skin. Pink (palm and sole), Warm and dry. ... .
Pupils. Normal and equal in size. ... .
Blood Pressure: 120 / 80 (systolic / diastolic) in adults. Higher in the elderly and lower in children..
Pulse Oximetry: 97-100%.

What are the normal vital signs for adults?

Normal vital sign ranges for the average healthy adult while resting are:.
Blood pressure: 90/60 mm Hg to 120/80 mm Hg..
Breathing: 12 to 18 breaths per minute..
Pulse: 60 to 100 beats per minute..
Temperature: 97.8°F to 99.1°F (36.5°C to 37.3°C); average 98.6°F (37°C).

When a patient's respirations are shallow EMT?

When a patient's respirations are shallow: tidal volume is markedly reduced. Which of the following MOST accurately describes paradoxical movement of the chest wall? You are assessing a 72-year-old man with abdominal pain.

Why is it important to get a resting respiratory rate as a vital sign?

Respiratory rate is a fundamental vital sign that is sensitive to different pathological conditions (e.g., adverse cardiac events, pneumonia, and clinical deterioration) and stressors, including emotional stress, cognitive load, heat, cold, physical effort, and exercise-induced fatigue.