Obesity-Related Hypertension in Children - Essay Example

"Obesity-Related Hypertension in Children" is a worthy example of a paper on child development.
High blood pressure BP and Overweight or high BMI are becoming a concern among several children in today's world. Therefore, it is encouraged to have a routine check on every other visit they have. High blood pressure (hypertension) or BP in children is blood pressure that is the same as or greater than 95 percent of children of the same sex, age, and height as your child (Flynn et al., 2017). There is no simple target blood pressure reading that shows high blood pressure in all children because it regarded as regular changes as children grow. At the same time, the same criteria are used to measure the range of a child’s BMI, and it becomes a concern when it is the same as or higher than 95 percent of the children falling under the same bracket. To manage the issue of both high BMI and BP lifestyle changes, like eating a heart-healthy diet with le and exercising more, can help reduce high blood pressure in children (Brady, 2017). However, for some children, medications may be necessary. The drug can either be indefinitely or temporally depending on the child’s root cause for the BP. More so, follow-up should be done on the child for six consecutive months.

When the child's BMI falls under the 85th to 94th percentile with no risk factors, then a fasting lipid profile should be obtained. A recommended screening of lipid every two years is initiated if there is a family history of fat. If the BMI falls between 85th and 94th percentile and with risk factors, then the AST and ALT tests should be done. If the results turn negative, then the test should as well be repeated every two years. Lastly, for the BMI equal to or more than 95 percentile, the analysis on AST and ALT should be done. The two tests assess the presence of nonalcoholic fatty liver disease.

Doing the AST and ALT tests is essential to test the functionality of the liver. This is because high BP and BMI lead to health complications that affect the liver. In any case, any of the test results turn positive. It is a medical concern as it shows an underlying issue like the illness associated with Hepatitis.

High levels of AST and the ALT may mention that the patient is suffering from either Hepatitis A or Hepatitis C or liver cirrhosis. Hepatitis A is a viral inflammation that can lead to liver inflammation or damage. Hepatitis C is a viral disease that leads to inflammation of the liver. Still, its unrelated to Hepatitis A or Hepatitis B. Cirrhosis is a complication of liver disease associated with the liver's abnormal structure and functioning. It can be caused by the ingestion of chemicals, viruses, or as a result of Autoimmune diseases. 

After Assessing my patient's medical chart history and current symptoms, it is clear that my patient has ADHD, is obese, and has hypertension. Each of the issues will have to be dealt with separately. For BP, it is recommended that the patient have regular checkups outside the doctor's office and more so change their diet into the low salt diet. In terms of high BMI, the patient is required to check on their food and avoid high-calorie snacks. More so, they should reduce their screen time and increase physical activity.

Regarding ADHD, the patient will be issued with Adderall XR to ingest by mouth daily. In case of any side effects from the drug, the patient should revisit the hospital and seek a change on the medication. The patient is also recommended to attend all the doctor's appointments. The mother should speak to the school psychologist to test on education achievement.