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  neerukp

  6 months ago

  6980 comments

  Good Morning Ms.Daisy

  enjoy the evening, again 2ro u hv to go for the work.,
  Here we too have very cold throughout the day, it will continue upto march, we will get snow also shortly.

  Take Care, Keep in touch

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  TeresahRN

  6 months ago

  139998 comments

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  TeresahRN

  6 months ago

  139998 comments

  Why does blood pressure always check in cases of dengue hemorrhagic fever?

  in the absence of a definitve test for dengue, one may use the torniquet test which when positive may be presumptive of the diagnosis of dengue in endemic areas. Prior to the conduct of the test, one must determine the blood pressure of the patient because this will serve as the basis for the mean arterial pressure value which is required during the torniquet test.

  Also, blood pressure is a vital sign (and so are the cardiac rate, temperature, respiratory rate) which is required not only of patients with dengue but of all patients going into the emergency room. Blood pressure is also required in dengue patients in order to classify the severity of the disease (dengue has 4 stages). Thus, using only the BP, one may readily institute measures necessary to save the life of the patient.

  After being bitten by a mosquito carrying the virus, the incubation period ranges from three to 15 (usually five to eight) days before the signs and symptoms of dengue appear in stages. Dengue starts with chills, headache, pain upon moving the eyes, and low backache. Painful aching in the legs and joints occurs during the first hours of illness. The temperature rises quickly as high as 104 F (40 C), with relatively low heart rate (bradycardia) and low blood pressure (hypotension). The eyes become reddened. A flushing or pale pink rash comes over the face and then disappears. The glands (lymph nodes) in the neck and groin are often swollen.

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  neerukp

  6 months ago

  6980 comments

  Hv a Good Day

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  neerukp

  6 months ago

  6980 comments

  Did I get answer for ur question Ms.Daisy.,

  In serious cases, especially in children shock may result, so continuous monitoring is essential to prevent further complications and help the child's prognosis., ok

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  neerukp

  6 months ago

  6980 comments

  Sometimes, dengue infection can present in the more serious form, known as Dengue Hemorrhagic Fever (DHF) or Dengue Shock Syndrome (DSS), whereby serious complications can occur, resulting in:

  •Widespread bleeding
  •Low blood pressure / shock due to bleeding or leaking blood vessels
  So only we have to monitor HR RR, B.P. Frequently

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  neerukp

  6 months ago

  6980 comments

  Hi Ms.Daisy,
  Good Morning
  Good Question regarding Dengue Fever, Here is the answer for you.,
  The importance of Monitoring B.P.HR, RR Q2h becoz

  Dengue starts with chills, headache, pain upon moving the eyes, and low backache. Painful aching in the legs and joints occurs during the first hours of illness. The temperature rises quickly as high as 104 F (40 C), with relatively low heart rate (bradycardia) and low blood pressure (hypotension).

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  neerukp

  6 months ago

  6980 comments

  Have a Good Night & Have a Wonderful Weekend Dear. Glad to hear you

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  neerukp

  6 months ago

  6980 comments

  Based on child's age & length & weight, health condition of the child, nutritional pattern etc., will also are the factors influence the B.P. of child.,
  Hope it is helpful for you dear

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  neerukp

  6 months ago

  6980 comments

  Daisy,

  A 2-year old boy is considered hypertensive with a blood pressure of 106/61; a 2-year-old girl is considered hypertensive at 105/63.

  We will monitor the B.P. and document it and inform the readings to the concerned physician
  usually anything above 10mm of Hg, either systolic or diastolic will be an abnormal

  http://www.livestrong.com/article/75663-considered-high-blood-pressure-child/#ixzz2Bjk1sw7b (Source)

• 

  neerukp

  6 months ago

  6980 comments

  Daisy,

  A 2-year old boy is considered hypertensive with a blood pressure of 106/61; a 2-year-old girl is considered hypertensive at 105/63.

  We will monitor the B.P. and document it and inform the readings to the concerned physician
  usually anything above 10mm of Hg, either systolic or diastolic will be an abnormal

  http://www.livestrong.com/article/75663-considered-high-blood-pressure-child/#ixzz2Bjk1sw7b (Source)

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  neerukp

  6 months ago

  6980 comments

  Hi Ms.Daisy,
  Good Evening
  The B.P.depends on sex, age, and height.
  for a 2-year old of average height and normal blood pressure would have a BP of 88/42.

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  TeresahRN

  6 months ago

  139998 comments

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  TeresahRN

  6 months ago

  139998 comments

  Hiya Sweetie, I was hoping that this may help you...

  
  

  Normal Blood Pressure Range for Children
  
  
  When blood flows through our bodies, it experiences pressure in two ways: from the heart that pumps it and from the walls of the arteries resisting it. This is called blood pressure, and it's affected by the body's state of rest, temperature, posture, and emotional state, as well as diet and medication. High blood pressure causes extra strain on the heart and arteries and increase the risk of heart disease and stroke, while low blood pressure can cause dizziness. Optimal blood pressure falls between these extremes, and is calculated in children based on gender, age and height.
  
  Measuring
  
  Blood pressure is measured using a stethoscope and a sphygmomanometer, which contains a rubber cuff to wrap around the upper arm and a pump to inflate it with air. When inflated, pressure stops the blood flow for a moment. Then, as air is released from the cuff, the blood flow starts up again. Using a stethoscope, the doctor can hear two sounds: the highest pressure, at the heartbeat's peak, is called the systolic pressure; the lowest pressure, between heartbeats, is called the diastolic pressure.

  Blood pressure is given as two numbers, which is the systolic pressure over the diastolic pressure. For example, a blood pressure reading of 120/80 means the systolic pressure is 120 and the diastolic pressure is 80.
  
  

  Ranges
  
  In children, height has a significant effect; taller kids have higher blood pressure. So a normal blood pressure range for children accounts for age, height and gender.
  
  3 to 5 Years Old
  
  The American Heart Association and the American Academy of Pediatrics recommend that children have their blood pressure checked regularly, beginning at three years.

  The upper limit for normal systolic pressure in kids aged three to five will range from 104 to 116, depending on height and gender. The upper limit for diastolic pressure will range from 63 to 74.

  For a three-year-old boy, normal systolic pressure is 104 at the 5th percentile for height, and 113 for the 95th percentile. Diastolic pressure ranges from 63 to 67. At four, the range is 106 to 115 for systolic pressure, and 66 to 71 for diastolic pressure. At five, it's 108 to 116 for systolic and 69 to 74 for diastolic.

  For a three-year-old girl, systolic pressure ranges from 104 at the 5th percentile for height to 110 at the 95th percentile, while diastolic pressure ranges from 65 to 68. At four years old, the systolic range is 105 to 111 and the diastolic range is 67 to 71. At five, the systolic range is 107 to 113 and the diastolic range is 69 to 73.
  
  6 to 9 Years Old
  
  Children aged six to nine range from 108 to 121 for the upper limit of normal systolic pressure, depending on height and gender, and 71 to 81 for diastolic pressure.

  For boys, at six years old the range for systolic pressure is 109 at the 5th percentile for height, to 117 at the 95th percentile, and the diastolic range is 72 to 76. At seven years old, systolic pressure ranges from 110 to 119 and diastolic pressure from 74 to 78. At eight, the systolic range is 111 to 120 and diastolic is 75 to 80. At nine, systolic pressure ranges from 113 to 121 and diastolic from 76-81.

  For a six-year-old girl, systolic pressure ranges from 108 at the 5th percentile for height to 114 at the 95th percentile, and diastolic ranges from 71 to 75. At seven years old, her systolic pressure will be 110 to 116, and her diastolic pressure 73 to 76. At eight, the systolic range is 112 to 118, and the diastolic range is 74 to 78. At nine, the systolic pressure ranges from 114 to 120, while the diastolic pressure ranges from 75 to 79.
  
  
  What is the normal blood pressure rate and heart rate in children (ages 8, 10, and 12)?
  
  Answer:
  
  Blood pressure is how hard the blood is flowing against the walls of blood vessels in the body. It is good to be asking about normal blood pressure values for children because most people think "high" blood pressure (hypertension) is something that only happens to adults. This is hardly the case, as about 5 percent of children have it, too. High blood pressure often does not cause any symptoms in children, but if not treated, it can cause serious health problems in the future.
  
  In children, blood pressure and heart rate (how many times the heart is beating each minute) normally vary with age. While blood pressure tends to get higher with age, heart rate tends to get lower with age. In addition, a taller person tends to have a higher blood pressure because more "pressure" is needed to pump the blood around the body.
  
  While I cannot answer your question exactly, the numbers do not change that much from year to year. In fact, blood pressure and heart rate in older children are not that much different from adult values. For boys and girls around your children's ages, normal blood pressures would be around 110 to 120 (systolic) over 70 to 80 (diastolic), and heart rates would range from 50 to 180. Having a blood pressure above these normal values on one occasion does not necessarily mean that a child has high blood pressure. Before a child is said to have high blood pressure, the readings would need to be high on three separate occasions, a few days or even weeks apart.

  2 and under is not always recommended...

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  TeresahRN

  7 months ago

  139998 comments

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