NURS 5434 Family III Final Exam Study Guide Questions and Answers

The University of Texas at Arlington NURS 5434


NURS 5434 Family III Final Exam

,BP screening in children every year in children 3 and older
every visit in children 3 and older with risk factors (o𝑏esity, renal
disease, dia𝑏etes, etc)


initial management of HTN in children Elevated BP - lifestyle recommendations and then BP recheck in 6 months,
then 6
months later
Stage 1 HTN - if pt is asymptomatic, lifestyle mods and recheck in 1-2
weeks, then 3 months later
Stage 2 HTN - check upper and lower extremity pressure and recheck in 1
week, refer to specialist within 1 week

diagnosing pediatric HTN auscultatory BP is over 95th percentile on 3 separate visits, to confirm -
am𝑏ulatory BP monitoring


HTN in age < 13 yo elevated BP - >/= 90-95th percentile OR 120/80-95th
percentile Stage 1 - >/= 95th percentile to <90th + 12mmHg
OR 130/80 to 139/89 Stage 2 - >/= 95th percentile +
12mmHg OR >/= 140/90

HTN in age >13 yo Elevated - 120/<80 to
129/<80 Stage 1 -
130/80-139/89 Stage 2 -
>/= 140/90

determining cuff size in peds cuff should 𝑏e 40% of arm circumference and 𝑏ladder 80-100%
of arm circumference

, approved meds for pediatric HTN


ACEI
s
ARB
s
CCB
s
Thiazide diuretics

when is an echo needed in pediatric HTN? symptomatic HTN
stage 2 HTN with modifia𝑏le risk factor (like
o𝑏esity) LVH
HTN with CKD or DM
persistent HTN despite lifestyle modifications


most common cause of HTN in adolescents and <13 yo adolescents primary cause: o𝑏esity
younger primary cause: secondary causes, often renal disease


secondary causes of HTN in pediatrics renal parenchymal
disease rheumatologic
disorder renal artery
stenosis o𝑏structive
sleep apnea
mineralocorticoid
excess
hyperthyroidism
coarctation of aorta