Chapter 5: Blood pressure management in children with CKD Recommendation 5.1: We suggest that in children with CKD, 24-hour mean arterial pressure (MAP) by ABPM should be lowered to 50th percentile for age, sex, and height (2C). Practice Point 5.1: We suggest monitoring BP once a year with ABPM, and monitoring every 3 6 months with stan- dardized auscultatory of ce BP in children with CKD. Practice Point 5.2: In children with high BP and CKD, when ABPM is not available, manual auscultatory of ce BP obtained in a protocol-driven standardized setting targeting achieved SBP <90th percentile for age, sex, and height of normal children is a reasonable approach. Practice Point 5.3: Use ACEi or ARB as rst-line therapy for high BP in children with CKD. These drugs lower proteinuria and are usually well tolerated, but they carry the risk of hyperkalemia and have adverse fetal risks for pregnant women. www.kidney-international.org summary of recommendation statements and practice points Chapter 1: Blood pressure measurement This chapter makes recommendations on how to measure BP among adults aged $18 years with CKD. Please refer to Chapter 5 for details of BP measurement in children. The evidence review for this chapter encompassed only a search for existing systematic reviews on BP measurement in the general population. An independent systematic review was not undertaken by the ERT. Throughout this chapter, standardized of ce BP refers to measurements obtained according to recommended prepa- ration procedures (Figure 21,2 ), regardless of the type of equipment used. In contrast, routine of ce BP refers to measurements obtained without following these recom- mended preparation procedures and is often also called casual of ce BP. 