Vital Signs =========== þ Pulse - normal rate is really 50-90. þ Orthostatic V.S. - "official" is increase of pulse by 20 or drop in SBP of 10 after 2 minutes' standing. - healthy adolescents have a range from +50 to -3 on pulse (mean 21) and +19 to -17 on SBP (mean +7) [Horam WJ, et al. Establishing standard of orthostatic measurements in normovolemic adolescents. Am J Dis Child 1992;146(7):848.]