#gpplacement

- Ectopic heartbeats:  Ectopic heartbeats are small changes in a heartbeat that is otherwise normal. These changes lead to extra or skipped heartbeats. Often there is not a clear cause for these changes. They are mostly harmless, generally common in people. The two most common types of ectopic heartbeats are: Premature ventricular contractions (PVC) and Premature atrial contractions (PAC). The following may help reduce ectopic heartbeats for some people: Limiting caffeine, alcohol, and tobacco, regular exercise for people who are inactive. Most ectopic heartbeats do not need to be treated. The condition is only treated if your symptoms are severe or if the extra beats occur very often.The cause of the heartbeats, if it can be found, may also need to be treated. [Bigeminy, Trigeminy, Quadrigeminy]: ventricular bigeminy is the occurrence of a PVC every other beat, trigeminy is every third beat, quadrigeminy every fourth beat. The main point with these types is that the PVC’s are more frequent in these circumstances. They are otherwise little different from PVC’s.

-  Pediatric Vital Signs: 

Age (year) Respiratory Rate (breaths/min) Heart Rate (beats/min) <1              30-60                                            100-160 1-2             24-40                                            90-150 2-5             22-34                                            80-140 6-12           18-30                                            70-120 >12            12-16                                            60-100 Lower limits of systolic pressure† 0-28 days: 60 mm Hg 1-12 months: 70 mm Hg 1-10 years: 70 mm Hg + (2 times age in years)

- Glucose levels: