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This monitor will automatically measure your child’s blood pressure every half hour during the day, and every hour during the night while they are sleeping. Your child will need to keep their arm still during each measurement. James PA, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA. 20 14;311(5):507-20. Heart rate in children can be higher than normal for many of the same reasons it can happen in adults, such as: Similar to heart rate, respiratory rate is the number of breaths you take per minute. To find your child’s respiratory rate, you can either: Provided that there are no neurological/neurosurgical contraindications, the next step is to lower systolic BP gradually (1/3 rd reduction in the first 12 hours, then further 1/3 rd over the next 12 hours, then last 1/3 rd over the next 24 hours) towards the target systolic BP goal (e.g., 90 th-95 th centile). This should be done in the HDU/PICU setting, ideally with invasive BP assessment via an arterial line. If BP drops precipitously then IV sodium chloride 0.9% can be administered to counteract this.
Many blood pressure monitors offer an averaging feature as well with the goal of providing an accurate depiction of your blood pressure. The devices often take three consecutive readings and average them together, accounting for any variability and giving you a single, more accurate data set. Saunders TJ, et al. Screen time and health indicators among children and youth: Current evidence, limitations and future directions. Applied Health Economics and Health Policy. 2017; doi:10.1007/s40258-016-0289-3.People with smaller or larger arms may need a special cuff size. Measure around the upper arm. Choose a monitor that comes with the correct cuff size.
Glucocorticoid remediable aldosteronism (aldosterone synthase hyperactivity or familial hyperaldosteronism type I; due to heterozygous variants in CYP11B2) An appropriate-sized cuff must be used. The width of the cuff should cover at least 75% of the upper arm from the acromion to the olecranon, leaving sufficient space at the antecubital fossa to allow application of the bell of the stethoscope. The widest cuff possible that covers the upper arm should be used. The cuff bladder length must encircle and cover 80-100% of the arm circumference. Wright JD, Hughes JP, Ostchega Y, Yoon SS, Nwankwo T. Mean systolic and diastolic blood pressure in adults aged 18 and over in the United States, 2001-2008. Natl Health Stat Report. 2011 Mar;(35):1-22, 24. There are two main types of blood pressure monitors available for home use: aneroid (manual) blood pressure monitors and digital blood pressure monitors. Your child's blood pressure will be measured. The correct blood pressure cuff size is important for measuring accurately. It is also important that blood pressure be measured with proper technique, in a quiet environment, with the child resting comfortably. During a single visit, your child's blood pressure might be measured two or more times for accuracy.Hypertension in children is rare. If your child has high blood pressure, your doctor will try to find out what is causing it and whether it is affecting other parts of his or her body, such as the kidneys. Your child may need to make changes to his or her diet and/or take medicines. Explain to your child what will happen during the test. You may say that it won’t hurt them but that their arm will be squeezed for a few moments. If your child is diagnosed with high blood pressure, it's important to determine whether it's primary or secondary. These tests might be used to look for another condition that could be causing your child's high blood pressure:
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