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.
Shivering also occurs along with chills because the patient's body produces heat during muscle contraction in a physiological attempt to increase body temperature to the new set point. When it does not accompany a high fever it is normally a light chill.hills is a feeling of coldness occurring during a high fever, but sometimes is also a common symptom which occurs alone in specific people.