Question
In case of hypertensive emergency in a child, blood pressure should be reduced by up to :
The correct answer is
10% in the first hour
Hypertensive Emergency Management in Children
Hypertensive emergencies require careful and controlled reduction of blood pressure (BP) to prevent end-organ damage while avoiding hypoperfusion.
Blood Pressure Reduction Guidelines
In a child experiencing a hypertensive emergency, the initial goal is a gradual reduction in blood pressure.
- Initial Reduction Target: Blood pressure should be reduced by approximately 10% within the first hour.
- Subsequent Management: Further gradual reduction can be achieved over the following hours and days, depending on clinical status and response. Avoid rapid drops in BP to prevent complications like cerebral ischemia.
This controlled approach helps stabilize the patient safely.
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Important Questions from Paediatric Emergencies
- At what cut-off respiratory rate will you consider "fast breathing" in a 2-year-old child?
- A child presents with headache and vomiting in the emergency room following a fall from the bed. Which one of the following treatment modalities is not recommended in the emergency room?
- The recommended ratio for chest compression to breaths administered by a single rescuer during resuscitation of a child in cardiac arrest is:
- A 4-year-old comatose child is assessed by the Modified Glasgow Coma Scale. Which of the following is the correct interpretation of the score given as E2V3M2 for the best eye opening response, best verbal response and best motor response respectively?
A 6-year old child needs to undergo a central Catheter placement for total parental nutrition.The procedure is likely to evoke pain and anxiety. Which of the following is the most appropriate drug for sedation and analgesia in this child?
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