RT Book, Section
A1 Kennedy, Thomas M.
A1 Selbst, Steven M.
A2 Tenenbein, Milton
A2 Macias, Charles G.
A2 Sharieff, Ghazala Q.
A2 Yamamoto, Loren G.
A2 Schafermeyer, Robert
SR Print(0)
ID 1155297359
T1 Pediatric Hypertension
T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 5e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259860751
LK accesspediatrics.mhmedical.com/content.aspx?aid=1155297359
RD 2024/04/16
AB If  an  initial  oscillometric  (automated)  blood  pressure  measurement  is  abnormal,  the  initial  measurement  should  be  discarded  and  two  additional  oscillometric  measurements  obtained.  If  the  average  of  these  two  measurements  is  ≥90th  percentile  for  gender,  age,  and  height,  then  the  blood  pressure  should  be  measured  twice  using  auscultatory  technique  with  an  appropriately  sized  cuff  and  these  two  values  averaged  to  determine  the  patient’s  blood  pressure  classification.The  funduscopic  examination  is  the  most  frequently  missed  component  of  the  evaluation  of  hypertensive  patients.The  goals  of  evaluation  and  management  for  hypertensive  patients  in  the  emergency  department  are  to  classify  the  severity  of  hypertension,  identify  specific  etiologies  requiring  unique  treatments,  identify  contraindications  to  urgent  initiation  of  antihypertensive  medications,  determine  proper  therapy,  if  needed,  and  disposition.In  pediatric  hypertensive  emergencies,  blood  pressure  should  be  reduced  by  no  more  than  25%  of  the  planned  reduction  over  the  first  8  hours  of  treatment.