Once you’ve created your own patient scenario, open your patient and go to the States tab as detailed here.  

In the pop-up window the first tab is Vitals. The starting vitals for the patient state can be modified the same way you change values during a running session. Click here to learn more about this.

Just click on the value (e.g. HR, RR, SpO2, temperature, blood pressure, etc.) and modify as you need. All modifications are saved for this patient state, and only for this patient state instantly. 

This means that if you should define more than one patient state for your patient, then the settings you apply here will be specific to this one specific state. 

When finished with editing, just click OK to save your changes.

You can also edit the auscultation Sounds settings for your patient states. Check out how to here.