儿童高血压的评估和管理 在ED中儿童高血压的评估和管理
Lilian Awad1, Usha Sethuraman2
1Children's Hospital of Michigan, Detroit, MI, USA. lawad@dmc.org.
Current hypertension reports
|November 17, 2023
概括
儿科高血压正在增加. 本综述涵盖了紧急诊所 (ED) 中儿童高血压和高血压危机的最新定义和管理.
科学领域:
- 儿科 儿科 儿科
- 心脏病学 心脏病学
- 紧急医疗 紧急医疗
背景情况:
- 在过去的40年里,儿科高血压的患病率大幅上升.
- 虽然经常在初级保健中进行管理,但有些孩子需要急诊室 (ED) 评估严重高血压或高血压危机.
研究的目的:
- 审查当前对儿童血压升高和高血压的定义.
- 讨论关于儿童高血压和高血压危机在ED的评估和管理的最新文献.
主要方法:
- 关于儿科高血压的最新研究的文献综述.
- 对紧急护理的最新指南和临床建议进行分析.
主要成果:
- 急性重度高血压和高血压紧急情况是需要及时识别和治疗的关键条件.
- 更新的定义和管理策略对于ED中有效的儿科护理至关重要.
结论:
- 医疗保健提供者必须准备好在紧急情况下管理儿童高血压病例的增加.
- 坚持更新的定义和管理协议可以改善高血压危机儿童的结果.
相关概念视频
01:28Special considerations while measuring blood pressure
727
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
727
01:23Hypertension V: Nursing Management
10
The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
10
01:28Hypertension I: Introduction
13
Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
13
01:18Hypertension and Regulation of Blood Pressure
2.1K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
2.1K
01:30Hypertension III: Clinical Manifestations and Diagnostic Studies
15
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
15
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
572
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
572