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.
The body gains about a half a degree increase in temperature an hour. The process can be the cause of serious risks including an increased rate of infections. Changes to the blood sugar, fluid balance, blood pressure, heart rhythms and abnormal clotting are all concerns with the cooling and rewarming process.he body gains about a half a degree increase in temperature an hour. The process can be the cause of serious risks including an increased rate of infections. Changes to the blood sugar, fluid balance, blood pressure, heart rhythms and abnormal clotting are all concerns with the cooling and rewarming process.