Pediatric Hypertension

Prepared by Cindy Russell, PhD, RN, CS.


1	Is Stephanie's BP elevated above what would be considered normal for her age?
		No
		Yes



2	Which one of the following constellations of factors best represents what you also need to consider in evaluating Stephanie's BP?
		only her height, weight, BP and lab values
		which meds have worked best for family members' HTN
		family history, possible secondary causes of HTN


3	Which one of the following would you recommend for Stephanie? Note: Let's say she is 4'8" and 130#
		weight loss and regular exercise
		immediate initiation of medications
		weight loss only from dietary modifications
		avoidance of physical activity as it could cause acute BP elevation in children

4	Concerning pharmacologic intervention for HTN in children, which of the following is true?
		initial drug choices differ for children as compared to adults
		the sexual activity of girls should be a consideration
		because of resistance to medications, drug therapy should be initiated at higher doses than for adults