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Vital signs

Vital signs: what they mean

Understand blood pressure, pulse, temperature, breathing rate, and oxygen saturation without interpreting a number in isolation.

Illustration of a monitor showing pulse, blood pressure, temperature, and oxygen saturation

Key points

  • Values vary with age, activity, altitude, and some medical conditions.
  • A single measurement does not confirm a diagnosis.
  • Symptoms and changes over time matter as much as the number.

Blood pressure

  • Blood pressure is expressed as two numbers: systolic, when the heart contracts, and diastolic, when it relaxes.
  • In adults, a reading below 120/80 mmHg is generally considered normal; repeatedly elevated readings require medical assessment.
  • A reading above 180 and/or 120 mmHg should be repeated after one minute. If accompanied by chest pain, shortness of breath, weakness, confusion, or vision changes, seek emergency care.

Pulse and breathing

  • For many adults, a resting pulse ranges from 60 to 100 beats per minute.
  • A typical adult resting respiratory rate is 12 to 20 breaths per minute.
  • Seek medical advice if your pulse remains irregular, very fast, or very slow, especially with dizziness, fainting, or shortness of breath.

Temperature and oxygen

  • In general, 38 °C or above is considered a fever; readings vary depending on where temperature is measured.
  • At low altitude, oxygen saturation is usually between 95% and 100%. It may be lower at high altitude or in people with lung disease.
  • A new or repeated drop to 92% or below requires prompt assessment; 90% or below, or difficulty breathing, is an emergency.

Warning signs and when to seek care

  • Chest pain
  • Difficulty breathing
  • Fainting or confusion
  • Weakness on one side of the body
  • Bluish lips

What not to do

  • Do not change your medication based on a single reading.
  • Do not ignore serious symptoms even if a number appears normal.

Medical references

MedlinePlus — Vital signs American Heart Association — Blood pressure

If you have symptoms, risk factors, or questions about your situation, arrange a professional medical assessment.

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