Temperature | Heart rate | Respiratory rate | Capillary refill time | |
---|---|---|---|---|
Included text: positive and negative included | Febrile/pyrexial Fever/temperature Hot/warm | Pulse normal/not raised HR increased | Respiratory effort Work of breathing Respiratory rate Dyspnoea Recession/flaring chest Respiratory distress Tachypnoea RR normal | BP 107/66 Hydrate/perfused Moist Cap refill normal Warm/cold hand/peripheries No dehydration/not dry Some mottling Skin turgor OK No cyanosis Normal/good colour Pale |
Excluded text: (examples given) | No temperature symptoms | HS normal/NAD HS 1+2 Systolic murmur | General observation: (Chest/respiratory system clear/OK/NAD/normal/nil acute) Chest: (chesty/croupy) Air entry: (good/full/bilate AE) Percussion: (PN resonant) Transmitted sounds: (transmitted sounds from throat) Added sounds: (wheeze/crepitations/crackles) | Flushed Wet and dirty nappies High colour |