Patients with hypertensive crises may require immediate reduction in elevated blood pressure to prevent and arrest progressive end-organ damage. The best clinical setting in which to achieve this blood pressure control is in the intensive care unit, with the use of titratable intravenous hypotensive agents.
Implementation of therapeutic hypothermia has its advantages, although complications are associated with its use. Shivering is a common complication that occurs during the induction and rewarming phases of therapeutic hypothermia. Strategies for preventing and managing shivering vary across protocols.
While you are most likely to shiver in the cold, you might also shiver from excitement or even fear. The involuntary shudder our bodies make in chilly weather is a response meant to raise our body temperature to a safe level. This is thought to be connected to the chattering your teeth do when you shiver.