Acute Management of Hypertension Following Intracerebral Hemorrhage
| Autor: | Casey C. May, J Tyler Haller, Keaton S. Smetana, Adam L Wiss, G. Morgan Jones |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Blood pressure control
medicine.medical_specialty Nicardipine Ischemia Blood Pressure 030204 cardiovascular system & hematology Critical Care Nursing 03 medical and health sciences 0302 clinical medicine Humans Medicine cardiovascular diseases Acute management Antihypertensive Agents Aged Cerebral Hemorrhage Intracerebral hemorrhage 030504 nursing business.industry medicine.disease Blood pressure Acute Disease Hypertension Emergency medicine Female 0305 other medical science business medicine.drug |
| Zdroj: | Critical Care Nursing Quarterly. 42:129-147 |
| ISSN: | 0887-9303 |
| DOI: | 10.1097/cnq.0000000000000247 |
| Popis: | Intracerebral hemorrhage (ICH) is responsible for approximately 15% of strokes annually in the United States, with nearly 1 in 3 of these patients dying without ever leaving the hospital. Because this disproportionate mortality risk has been stagnant for nearly 3 decades, a main area of research has been focused on the optimal strategies to reduce mortality and improve functional outcomes. The acute hypertensive response following ICH has been shown to facilitate ICH expansion and is a strong predictor of mortality. Rapidly reducing blood pressure was once thought to induce cerebral ischemia, though has been found to be safe in certain patient populations. Clinicians must work quickly to determine whether specific patient populations may benefit from acute lowering of systolic blood pressure (SBP) following ICH. This review provides nurses with a summary of the available literature on blood pressure control following ICH. It focuses on intravenous and oral antihypertensive medications available in the United States that may be utilized to acutely lower SBP, as well as medications outside of the antihypertensive class used during the acute setting that may reduce SBP. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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