TY - CHAP M1 - Book, Section TI - Management of Systemic Blood Pressure in the NeuroICU A1 - Mian, Samia A1 - Venkatachalam, Thilagavathi A1 - McFadden, Christopher B. A2 - Lee, Kiwon PY - 2012 T2 - The NeuroICU Book AB - A 57-year-old man with a 5-year history of hypertension (HTN) presents to the emergency department with the assistance of family. They report progressive confusion and lethargy for 2 days. The patient has not been eating well or taking his home medications for 2 weeks. Home medications include clonidine 0.3 mg three times a day, atenolol 100 mg daily, escitalopram 20 mg daily, and hydrochlorothiazide 25 mg daily. The patient and his family deny any other symptoms including fevers, shortness of breath, slurring, or seizures. His initial vital signs include blood pressure (BP) of 186/104 mm Hg, pulse of 76 bpm, temperature of 36.5°C (97.6°F), and a respiratory rate of 18 breaths/min. He is not hypoxic. Initial neurologic examination and brain computed tomography (CT) do not reveal any motor deficits or acute anatomic abnormality. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/20 UR - neurology.mhmedical.com/content.aspx?aid=1101645640 ER -