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haikumama
02-07-2010, 02:15 PM
Does anyone know where I can find info on what a normal sleeping heart rate is for a 14-month-old? (He's really 17 months, but 14 adjusted).

I'm not sure if he's really having heart rate dips, or if the monitor is wonky or what. When he first falls asleep it's bouncing around like 87, 77, 90, 66, 73, 56, 75 - all within a course of maybe 30 seconds, but then repeating like this for several minutes.

We are not aware of any cardiac issues, but now I'm wondering what is up. He's breathing steadily and his color is fine. His o2 sat is great. Everything looks normal. I mean, I'd never know his heart rate was doing this without the monitor. So I don't really know what to think. Maybe it's just the monitor.

thanks for any input...
Kari

Wooders80
02-07-2010, 02:38 PM
Not totally sure, but I remember when we were discharged first with the trach when Dominic was a baby his lower HR limit on the sats monitor was 80. I can remember phoning the hospital the first time it alarmed when he was asleep as his HR went below this, but was told not to worry. I can't remember how old he was though. I think as long as the HR dips and comes up straight away it's not really much to worry about, as long as the dip isn't too low though.

56 sounds a bit low, but I'm not sure. Probs best to check with the doctors.

sofiasmom
02-07-2010, 02:54 PM
Sofia is the same age (17 months but almost 14 adjusted). We have her low heartrate set at 70. She rarely dips below 90 in the deepest sleep. Her normal sleeping rate is anywhere from 105 to 135. We got our high and low numbers from the pediatrician by asking what the appropriate numbers should be. The high is 200, but she rarely goes above 170. 200 is when she is really, really mad.

Alex's mom
02-07-2010, 03:15 PM
I would bring the issue up with some of your doctors to get their advice. If your worried and think something isn't right, it can't hurt to get it checked out.

We went through something similar with Alex when she was around that age. She was dipping down into the 60's, sometimes 50's. We addressed the issues w/our pedi, pulmonologist, neurologist.... no one was concerned. We eventually turned the paremeters down on the monitor. The monitor will alarm if her sats dropped. They never did with these "episodes" so I was comfortable doing that.

We've since had a workup with a cardiologist this past summer for other reasons and she was given a clean bill of health in that department.

drct1245
02-07-2010, 03:21 PM
Here is what our pulm sent us:

Vital Signs at Various Ages

Age /Heart Rate (beats/min) /Blood Pressure (mm Hg)/ Respiratory Rate (breaths/min)
Premature/ 120-170 * /55-75/35-45† /40-70‡
0-3 mo/ 100-150 * /65-85/45-55 /35-55
3-6 mo/ 90-120/ 70-90/50-65 /30-45
6-12 mo/ 80-120/ 80-100/55-65 /25-40
1-3 yr/ 70-110/ 90-105/55-70/ 20-30
3-6 yr /65-110/ 95-110/60-75 /20-25
6-12 yr /60-95/ 100-120/60-75 /14/22
12 * yr/ 55-85/ 110-135/65-85 /12-18


References: Behrman, Nelson Textbook of Pediatrics: 17th edition.

Gretchen(Celia's mom)
02-07-2010, 04:41 PM
I would change all your sat monitor cable's and probe personaly, Then if his hr is still wonky as the doc. Celia's resting hr jumps around alot too!!

kadiera
02-07-2010, 05:27 PM
Alexander does this too.

It may help to adjust the amount of time your pulse ox averages readings over - ours is set as long as possible (16 seconds) from when the O2 sats were less stable - having the alarm go off for a split second of hitting the min level was too annoying :) - but it makes the heart rate numbers go all over the place.

drct1245
02-08-2010, 12:16 AM
Alexander does this too.

It may help to adjust the amount of time your pulse ox averages readings over - ours is set as long as possible (16 seconds) from when the O2 sats were less stable - having the alarm go off for a split second of hitting the min level was too annoying :) - but it makes the heart rate numbers go all over the place.

After 3 yrs of using the pulse-ox, i had no idea that there was an option for this! :) Shows how much our DME taught us. lol

kadiera
02-08-2010, 09:44 AM
After 3 yrs of using the pulse-ox, i had no idea that there was an option for this! :) Shows how much our DME taught us. lol

They didn't teach us....we tracked down a manual. :D

It doesn't hurt that my husband was actively searching for a way to make the pulse ox output to a computer so we could pull up a web page and check in on Alexander from anywhere.......

MRSJOH
02-08-2010, 04:03 PM
Jasper's sleeping is 105-120's , he has a pacemaker now too so he never goes below 100......HOWEVER, our o2 monitor usually has decent sat reading but the heartrate is always SOOO off, we have the nonin 7500, and we replaced it a couple of times, but its always off, so now when we are concerned, we use a stethoscope