Back to FlashcardsNursing / Simmons NURP 502 Exam 1 2: Ped HTN Management
What is management for normal BP <90th percentile?
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Key Terms
Term
Definition
What is management for normal BP <90th percentile?
Primary prevention • Screen for comorbidities • Recheck in one year (or sooner) • Encourage: • Healthy diet • Regular exercise • Sufficient sleep •
What is management for pre-HTN BP 90th-95th percentile (or 120/80)?
Recheck in 6 months • Weight-management counseling if overweight • Introduce physical activity and diet management • No pharmacotherapy unless compell...
What is management for Stage 1 HTN BP 95th-99th percentile?
Recheck in 1-2 weeks, sooner if symptomatic • Evaluate • Refer within one month • Weight-management counseling if overweight • Introduce physical acti...
What is management for Stage 2 HTN BP >99th percentile?
Evaluate • Refer within one week or immediately if symptomatic • Weight-management counseling if overweight • Introduce physical activity and diet man...
What are the components of HTN evaluation?
Comprehensive H and P • UA and culture • BUN, creatinine, electrolytes • CBC • Glucose • Lipid panel • Renal US • Echocardiogram • Illicit Drug screen...
What are lifestyle recommendations for HTN?
Weight reduction OR maintenance • Decrease screen time to less than or = to 2 hrs • Increase physical activity – something child enjoys • Healthy diet...
Related Flashcard Decks
| Term | Definition |
|---|---|
What is management for normal BP <90th percentile? | Primary prevention • Screen for comorbidities • Recheck in one year (or sooner) • Encourage: • Healthy diet • Regular exercise • Sufficient sleep • |
What is management for pre-HTN BP 90th-95th percentile (or 120/80)? | Recheck in 6 months • Weight-management counseling if overweight • Introduce physical activity and diet management • No pharmacotherapy unless compelling indications such as CKD, diabetes mellitus, heart failure, or LVH exist |
What is management for Stage 1 HTN BP 95th-99th percentile? | Recheck in 1-2 weeks, sooner if symptomatic • Evaluate • Refer within one month • Weight-management counseling if overweight • Introduce physical activity and diet management • Pharmacotherapeutics if: • Symptomatic HTN • Secondary HTN • Hypertensive organ damage • DM T1 or T2 • Persistent HTN despite lifestyle measures |
What is management for Stage 2 HTN BP >99th percentile? | Evaluate • Refer within one week or immediately if symptomatic • Weight-management counseling if overweight • Introduce physical activity and diet management • Initiate pharmacotherapeutics |
What are the components of HTN evaluation? | Comprehensive H and P • UA and culture • BUN, creatinine, electrolytes • CBC • Glucose • Lipid panel • Renal US • Echocardiogram • Illicit Drug screen • Polysomnogram • Ambulatory (home) BP monitoring • Plasma renin • Renovascular imaging • Plasma and urine catecholamine levels • Plasma and urine steroid levels |
What are lifestyle recommendations for HTN? | Weight reduction OR maintenance • Decrease screen time to less than or = to 2 hrs • Increase physical activity – something child enjoys • Healthy diet, encourage breakfast, DASH diet (low sodium) |
Name the classes of meds used for HTN. | ACE Inhibitors • Beta Blockers • ARBs • CCBs • Alpha and Beta Blockers • Central Alpha Agonist • Diuretics • Peripheral Alpha Antagonists • Vasodilators |
Which med is a last resort? | Vasodilator Minoxidil |