NREMT EMR First Responder

Category - Patient Assessment

Which of the following finding during a secondary assessment would be considered abnormal?
  1. A heart rate of 89 in a 14-year-old female
  2. A capillary refill of 4 seconds in a 2-year-old male
  3. A respiratory rate of 25 in a 82-year-old male with a history of COPD
  4. A blood pressure of 110/64 in a 16-year-old female
Explanation
Answer: B - A capillary refill of greater than 2 seconds in a pediatric patient is considered abnormal unless proven otherwise. The measurement of capillary refill has been deemed inaccurate in adults; however, in children 2 years old and less, it is generally reliable with a normal finding being 2 seconds or less. With that said, you must take into account factors such as cold weather that can artificially increase the rate of capillary refill.
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