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 - 2017 T2 - The NeuroICU Book, 2e 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 of speech, or seizures. His initial vital signs include blood pressure (BP), 186/104; pulse, 76 bpm; temperature, 97.6°C; and respiratory rate, 18. He is not hypoxic. Initial neurologic examination does not reveal any motor deficits, and brain computed tomography (CT) shows no acute anatomic abnormality. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - neurology.mhmedical.com/content.aspx?aid=1143957799 ER -