Recommended initial studies in children with hypertensive emergencies*

All patients

Serum BUN, creatinine, electrolytes, and glucose

Complete blood count with reticulocyte count

Urinalysis with microscopy

EKG

Chest radiograph

Selected patients

Urine toxicology screen for amphetamines, PCP, cocaine metabolites

Urine pregnancy test

Head CT or brain MRI

BUN: blood urea nitrogen; EKG: electrocardiogram; PCP: phencyclidine; CT: computed tomography; MRI: magnetic resonance imaging.
* Additional specialized diagnostic testing may be deferred until blood pressure is controlled.

Graphic 57292 Version 6.0

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Recommended initial studies in children with hypertensive emergencies*