Your doctor or nurse may ask a community nurse to measure your child’s blood pressure at home. Or, you may be asked to use a home electronic monitor to measure your child’s blood pressure at regular intervals during the day. Ambulatory blood pressure monitoring

Bloods: FBE, Bicarbonate, renin/aldosterone ratio, TFT, plasma metanephrins, cortisol, fasting glucose Encourage physical activity. All children should get 60 minutes of moderate to vigorous physical activity a day. It is important for your child’s health that his or her blood pressure is controlled so it is in a healthy range. Below are some tips you can follow as a family to keep your child’s blood pressure healthy. If your child’s respiratory rate is low, but there aren’t any other signs of illness, it’s typically nothing to worry about. When to see a healthcare provider 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.

Consider consultation with local paediatric team when

If BP does not respond following the first hours of commencing the IV labetalol infusion (with incremental dosing) then a second agent should be considered. This would typically be an infusion of sodium nitroprusside (preferential) or hydralazine. Blood pressure can vary throughout the day, when we exercise and when we feel stress. Some children feel stress when they visit the doctor. If they feel stress and have high blood pressure, and no other symptoms of hypertension, this is called white coat hypertension. Measuring at home

Blood pressure machines vary, but they're all a type of measuring device, which often have an arm cuff attached to it. Heart rate in children can be higher than normal for many of the same reasons it can happen in adults, such as:

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. Management of hypertensive emergency (hypertension with features of target-organ damage e.g., hypertensive encephalopathy, congestive heart failure, acute kidney injury, papilloedema and/or retinal haemorrhage): Patient’s BP centiles should be documented clearly based on gender/age/height (see Appendices 1 and 2). The kidneys and other parts of the body are involved in the renin–angiotensin system, which helps control blood pressure. There are two types of chemicals.