Term
|
Definition
BP on 3 occasions >95th percentile for:
- height
- weight
- gender |
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|
Term
| Two ways to define peds pre HTN |
|
Definition
Either criteria:
1. 90-94th percentile BP
2. 120/80 regardless of percentile |
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|
Term
|
Definition
| SBP and/or DBP > 95-99th percentile +5mmHg |
|
|
Term
|
Definition
SBP and/or DBB > 99th percentile +5mmHg
Severe if symptoms presnt |
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|
Term
|
Definition
|
|
Term
| What is the difference between white coat syndrome and masked HTN |
|
Definition
White coat = BP higher in clinic but fine otherwise
Masked = lower in clinic, but hig otherwise |
|
|
Term
| Primary risks of peds HTN |
|
Definition
|
|
Term
| What is the preferred method of determining peds BP? |
|
Definition
|
|
Term
| T/F right arm is preferred? |
|
Definition
| T to avoid false low levels due to coarctation of aorta |
|
|
Term
| In normal pt population when do we start checking BP, and how often thereafter |
|
Definition
| 3 years old. Annually thereafter. |
|
|
Term
| Most common risk factor for peds HTN? |
|
Definition
| Obesity (30% over weight children) |
|
|
Term
| Risk factors for peds HTN |
|
Definition
1. Heredity
2. Male
3. Smoke
4. Maternal HTN during preg.
5. Race AA, Mexican |
|
|
Term
| Secondary HTN/ is normally caused by what etiologies? |
|
Definition
1. Cardio
2. Renal
3. Endocrine |
|
|
Term
| Treatment goals in peds HTN |
|
Definition
Normal: BP<95th percentile
w/ comorbidities: BP<90th percentile |
|
|
Term
| What drugs are commercially available in susp/sol form? |
|
Definition
1. Enalapril (vasotec)
2. Furosemide (Lasix)
3. chlorothiazide (Diuril) |
|
|
Term
| What compelling indication would lead you to prescribing CCBs or BBs? |
|
Definition
|
|
Term
| What compelling indication would lead you to prescribing BB or diuretics? |
|
Definition
|
|
Term
| What compelling indication would lead you to prescribing ACEIs or ARBs? |
|
Definition
|
|
Term
| What is the recommended follow up time when prescribing BP meds |
|
Definition
|
|
Term
| Walk through the dose adjustment flow chart |
|
Definition
1. recommended dose
2. increase to target BP or max dose is reached
3. 2nd drug (complementary MOA)
4. 3rd drug or find an expert |
|
|
Term
|
Definition
emergency = severe symptomatic elevation + evidence of target organ damage
Urgency = NO evidence of target organ damage |
|
|
Term
| How to treat HTN urgency? |
|
Definition
|
|
Term
| Hot to treat HTN emergency? |
|
Definition
| Reduce BP 25% in 8 hours, then slow speed to reach goal in 1-2 days |
|
|
Term
| What agent to treat severe HTN IV? |
|
Definition
Labetalol (bolus or infusion)
Nicardipine (infusion)
Hydralazine (bolus)
Esmolol (infusion)
Sodium nitroprusside (infusion |
|
|
Term
| Which agent treat severe HTN orally? |
|
Definition
Clonidine
Isradipine
Minoxidil |
|
|
Term
| When is pharmacotherapy indicated for peds HTN? |
|
Definition
1. Severe symptomatic HTN
2. Secondary HTN w/ identifiable cause
3. HTN that does not respond to lifestyle changes |
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