RT Book, Section
A1 Mian, Samia
A1 Venkatachalam, Thilagavathi
A1 McFadden, Christopher B.
A2 Lee, Kiwon
SR Print(0)
ID 1143957799
T1 Management of Systemic Blood Pressure in the NeuroICU
T2 The NeuroICU Book, 2e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071841443
LK neurology.mhmedical.com/content.aspx?aid=1143957799
RD 2024/09/20
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.