High Blood Pressures in the Office

High Blood Pressures in the Office

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Cost: $FREE
Course Type: Online
Approximate Length: 1 hour

Welcome to training on High Blood Pressures in the Office, provided by the Texas Department of State Health Services (DSHS) and Health and Human Services Commission (HHSC).

Sample Clinical Case

A 14-year-old male patient comes in for a pre-athletic participation physical exam. His height is at the 50th percentile, and his blood pressure is 145/60. You review his chart and see that his BP was 150/55 six months ago when he was evaluated for sinusitis, and 149/62 at his pre-athletic examination one year ago.

Is the patient hypertensive? Please choose your answer:

Goal

The goal of this module is to educate Texas Health Steps (THSteps) providers and others about how to measure blood pressure accurately in children and adolescents; how to identify abnormal blood pressure; and when to refer to a pediatric nephrologist for diagnosis and treatment of hypertension.

Target Audience

Texas Health Steps Providers and other health-care professionals.

Specific Learning Objectives

After completing the activities of this module, you will be able to:

  1. Identify normal blood pressure for an individual child or adolescent client.
  2. Identify pre-hypertension for an individual child or adolescent client.
  3. Apply staging criteria for stage 1 hypertension for an individual child or adolescent client.
  4. Apply staging criteria for stage 2 hypertension for an individual child or adolescent client.
  5. Indicate when to check blood pressure in pediatric clients.
  6. Select three steps for a hypertension workup when a child’s blood pressure is above normal.
  7. Select three therapeutic lifestyle changes that can be recommended when a child is hypertensive.
  8. Indicate when to refer a child to a pediatric nephrologist.
  9. Indicate when hypertension should be considered urgent.
  10. Indicate when hypertension should be considered an emergency.
  11. Select at least two steps to take in follow-up care for a child being treated for hypertension.

External links in this course are current as of 6/2009. These links may be bookmarked for future reference.

Please note this module expires in 12/15/2010.

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Lessons

Enroll in this course to access the lessons below. If you don't have an account, register and then login.

  • High Blood Pressures in the Office: Pre-Test
  • Section 1: Introduction to High Blood Pressures in the Office
  • Section 2: Guidelines for Screening and Diagnosis
  • Section 3: When to Refer regarding High Blood Pressures in the Office
  • Section 4: Primary Care Follow-up
  • High Blood Pressures in the Office: Post-Test
  • High Blood Pressures in the Office: Course Evaluation

Certificates

This module includes a pre- and post-test. Both tests need to be completed for you to receive a certificate of completion, and you must score a 75% on the post-test to pass. After you complete the post-test, you will be asked to evaluate your training experience, and you will be provided with information about securing continuing education credit. Click below for your certificate.

Disclosure Statements

One of the requirements of continuing education is disclosure of the following information to the learner:

  1. Notice of requirements for successful completion of continuing education activity. To receive continuing education credit the learner must successfully complete the following activities:
    1. Create a Texas Health Steps account.
    2. Complete on-line registration process.
    3. Thoroughly read the content of the module.
    4. Complete the on-line examination.
    5. Complete the evaluation.
  2. Commercial Support.
    The THSTEPS Web-based Continuing Education Series has received no commercial support.
  3. Disclosure of Conflict of Interest.
    Using a disclosure review process, the THSTEPS Continuing Education Planning Committee has examined documents and has concluded that neither planning committee members nor the authors of these modules have a conflict of interest.
  4. Non-Endorsement Statement.
    Accredited status does not imply endorsement by the Department of State Health Services, Continuing Education Service or the American Nurses Credentialing Center of any commercial products displayed in conjunction with an activity.
  5. Off-Label Use.
    Using a disclosure review process, the THSTEPS Continuing Education Planning Committee has examined documents and has concluded that the authors of these modules have not included content that discusses off-label use (use of products for a purpose other than that for which they were approved by the Food and Drug Administration).

The following are policies and definitions of terms related to continuing education disclosure:

The intent of disclosure is to allow Department of State Health Services (DSHS) Continuing Education Service the opportunity to resolve any potential conflicts of interest to assure balance, independence, objectivity and scientific rigor in all of its Continuing Education activities.

All faculty, planners, speakers and authors of Department of State Health Services (DSHS) Continuing Education Service sponsored activities are expected to disclose to the Department of State Health Services (DSHS) Continuing Education Service any relevant financial, relationships with any commercial or personal interest that produces health care goods or services concerned with the content of an educational presentation. Faculty, planners, speakers and authors must also disclose where there are any other potentially biasing relationships of a professional or personal nature.

↓ Disclosure: Glossary of Terms

Conflict of Interest – Circumstances create a conflict of interest when an individual has an opportunity to affect Continuing Education content about products or services of a commercial interest with which she/he has a financial relationship or where there are any other potentially biasing relationships of a professional or personal nature.

Commercial Interest – Any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.

Financial Relationships – Those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, teaching, membership on advisory committees or review panels, board membership, and other activities for which remuneration is received or expected. Relevant financial relationships would include those within the past 12 months of the person involved in the activity and a spouse or partner. Relevant financial relationships of your spouse or partner are those of which you are aware at the time of this disclosure.

Off Label – Using products for a purpose other that that for which it was approved by the Food and Drug Administration (FDA).

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