OMRON Small Cuff original accessory (17 - 22 cm) 9515373-3 for OMRON Upper Arm Blood Pressure Monitors

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Flynn JT, et al. Clinical practice guideline for screening and management of high blood pressure in children and adolescents. Pediatrics. 2017; doi:10.1542/peds.2017-1904. The cuff is usually wrapped around your upper arm and filled with air until it feels tight. This can feel uncomfortable but it only lasts a few seconds. Primary/essential hypertension accounts for the majority of hypertension in children >6 years old and is generally associated with obesity or a family history of hypertension

Just like heart rate, respiratory rate can go up and down a bit throughout the day, depending on what your child is doing. Temporary changes outside the normal ranges are fine. And just like with adults, it’s also normal for children to breathe more slowly while they’re sleeping. Treatment of primary hypertension involves lifestyle modification. The main aim is to increase energy expenditure, reduce energy intake, and limit sodium intake. Increased intake of fresh fruit and vegetables, along with low-fat dairy products, has been demonstrated to have a positive impact on BP control in CYP (6). Other beneficial measures include avoidance of caffeine (including energy drinks), alcohol and smoking. Realistically, pharmacological treatment may be initiated to help control BP whilst lifestyle modifications are implemented as it can take time before any discardable benefit becomes apparent. Eat lots of fresh fruits and vegetables. Swap white bread, rice and pasta for whole-wheat varieties. Avoid food and drinks with lots of added sugar (including sweets, sugary cereals, high-sugar squash and fizzy drinks or sodas). Limit caffeine (which is found in coke drinks, tea and coffee).Renal artery stenosis / renovascular disease (e.g., seen in neurofibromatosis type 1, Williams syndrome, Takayasu arteritis, fibromuscular dysplasia, post abdominal radiotherapy, post kidney transplantation, mid-aortic syndrome) If your child is diagnosed with severely high blood pressure (stage 2 hypertension), your child's doctor will likely recommend blood pressure medications. Flynn JT, et al. Treatment of hypertensive children with amlodipine. Am J Hypertens. 2000;13(10):1061-6.

Encourage physical activity. All children should get 60 minutes of moderate to vigorous physical activity a day. US Blood Pressure Validated Device Listing (VDL™). U.S. Blood Pressure Validated Device Listing. Accessed 9/23/2021. Control your child's weight. If your child is overweight, achieving a healthy weight or maintaining the same weight while getting taller can lower blood pressure. A normal body temperature for a child of any age is 98.6 degrees Fahrenheit (or 37 degrees Celsius). Dr. Sniderman adds that normal body temperature can vary slightly from child to child, and a temperature up to 100.4 F (38 C) is still considered normal. What affects body temperature in children? If there are any cardiac concerns, then a chest x-ray and echocardiogram should be performed urgently before referral to nephrology.Diagnosing white coat hypertension (reported in up to 50% of cases suspected on casual BP readings) (5) You may be give a special electronic monitor that automatically measures blood pressure over a period of time, usually 24 hours. This is called ambulatory blood pressure monitoring (ABPM). (Ambulatory means moving about.)

Mattoo TK. Definition and diagnosis of hypertension in children and adolescents. https://www.uptodate.com/contents/search. Accessed May 12, 2021. Children with kidney disease and some other conditions may benefit from having a blood pressure that is at the lower part of the normal range for their age, sex and height. Your doctor or nurse will give you more information. Controlling blood pressure Patient’s BP centiles should be documented clearly based on gender/age/height (see Appendices 1 and 2).

When and where to get your blood pressure tested

Heart rate is the number of times your heart beats per minute. You can find your child’s pulse and then count the number of beats in one minute to get their heart rate. What is respiratory rate?