Pediatric Hypertension and Hypertensive Emergencies: Recognition and Management in the Emergency Department (Pharmacology CME) is organized by EB Medicine.
Date of Original Release: March 1, 2019
Date of most recent review: February 15, 2019
Termination date: March 1, 2022.
CME Expiration Date: April 1, 2022
This enduring material is designed for emergency medicine physicians, physician assistants, nurse practitioners, and residents.
4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAFP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits.
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 2 Pharmacology CME credits
About this Issue:
Pediatric hypertension generally presents to the ED in 2 forms: (1) the otherwise asymptomatic child with elevated blood pressure, and (2) the child with a true hypertensive emergency. This issue provides recommendations to ensure that asymptomatic patients with hypertension receive appropriate testing and referrals and outlines a systematic approach for the evaluation and treatment of patients with severe hypertension. You will learn:
• The differences between primary hypertension and secondary hypertension
• The stages of hypertension and the significance of each, as well as rough equations to determine the stage of a patient’s hypertension, based on the patient’s age
• Which medications are appropriate for administration in the prehospital setting, and which should be administered in the ED
• Key historical information that should be elicited
• Recommendations for taking accurate blood pressure measurements and for confirming high blood pressure readings
• How to determine which portion of the workup is necessary in the ED, and what is better done by outpatient clinicians or the inpatient team
• Which patients need treatment in the ED, and which patients can be sent home with education and follow-up with their primary care physician
• Evidence-based recommendations for administration of antihypertensive medications
Upon completion of this activity, you should be able to:
• demonstrate medical decision-making based on the strongest clinical evidence;
• cost-effectively diagnose and treat the most critical presentations; and
• describe the most common medicolegal pitfalls for each topic covered.
Upon completion of this article, you should be able to:
• Differentiate primary and secondary hypertension
• Describe the stages of hypertension and the significance of each
• Identify hypertensive emergencies in all pediatric age groups
• Choose and initiate appropriate pharmacologic therapies for pediatric hypertensive emergencies
Cardiology, Pediatrics, Renal Medicine Disease and Hypertension, Clinical Pharmacology, Emergency Medicine