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학습 자료 둘러보기 →In a child with nephrotic syndrome, a blood pressure of 160/100 mmHg with a severe headache is a critical red flag for posterior reversible encephalopathy syndrome (PRES). This constitutes a hypertensive emergency requiring immediate medical intervention to prevent seizures or permanent brain injury.
Expected findings like periorbital edema, frothy urine with 3+ protein, and a serum albumin of 2.0 g/dL confirm the diagnosis but do not signal an acute crisis. These are managed with corticosteroids and supportive care.
Do not dismiss hypertension as a routine finding; the combination of severe elevation and neurological symptoms indicates failed cerebral autoregulation and impending vasogenic edema. Immediate notification of the provider is the priority nursing action.
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