Manuscript received November 2, 2015; accepted November 5, 2015. thrombosis requiring placement of an inferior vena cava (IVC) filter. During her hospital admission, the patient was found to have a headache, acute kidney injury, and proteinuria in the setting of hypertensive emergency. In addition, the patient was found to be hypokalemic. Her antihypertensive agents were progressively titrated ...

BACKGROUND Raised blood pressure is common after acute stroke and is associated with an adverse prognosis. We sought to assess the feasibility, safety, and effects of two regimens for lowering blood pressure in patients who have had a stroke. METHODS Patients who had cerebral infarction or cerebral haemorrhage and were hypertensive (systolic blood pressure [SBP] >160 mm Hg) were randomly assi...

BACKGROUND There is conflicting information regarding the effects of selective and nonselective beta-blocker treatment in patients with COPD. PARTICIPANTS AND METHODS This nested case-control study used the Taiwan National Health Insurance Research Database. We included COPD patients who used inhalation steroid and beta-blockers between 1998 and 2010. From this cohort, there were 16,067 patie...

Rapid cyclic fluctuations of blood pressure in patients with a pheochromocytoma have rarely been reported. The suitable conditions to induce this phenomenon are not adequately known. We report here a patient with an adrenal pheochromocytoma who showed this phenomenon after oral administration of labetalol.

As community hospitals adopt comprehensive stroke pathways, nurses in critical care areas must prepare for each possible complication. Although the thrombolytic component of a new stroke protocol may receive the most attention, the various details of the pathway--in this case, management of blood pressure--should not be overlooked. Critical care nurses who appreciate the considerations for trea...

Background: Hypertensive disorders complicate 5%–10% of all pregnancies and contribute greatly to maternal morbidity and mortality rates. Dangerous hypertension can cause cerebrovascular hemorrhage, hypertensive encephalopathy, and can trigger eclamptic convulsions. Blood pressure (BP) ≥160/110 mmHg in pregnancy requires prompt treatment. Both nifedipine and intravenous (IV) labetalol are effec...