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" Appropriateness of Bolus Antihypertensive Therapy for Elevated Blood Pressure in the Emergency Department "
Miller, Joseph B.; Arter, Andrew; Wilson, Suprat S.; Janke, Alexander T.; Brody, Aaron; Reed, Brian P.; Levy, Phillip D.
Document Type
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AL
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Record Number
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933116
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Doc. No
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LA7k58685w
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Language of Document
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English
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Main Entry
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Miller, Joseph B.; Arter, Andrew; Wilson, Suprat S.; Janke, Alexander T.; Brody, Aaron; Reed, Brian P.; Levy, Phillip D.
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Title & Author
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Appropriateness of Bolus Antihypertensive Therapy for Elevated Blood Pressure in the Emergency Department [Article]\ Miller, Joseph B.; Arter, Andrew; Wilson, Suprat S.; Janke, Alexander T.; Brody, Aaron; Reed, Brian P.; Levy, Phillip D.
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Title of Periodical
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Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
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Volume/ Issue Number
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18/5
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Date
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2017
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Abstract
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Introduction: While moderate to severely elevated blood pressure (BP) is present in nearly halfof all emergency department (ED) patients, the incidence of true hypertensive emergencies inED patients is low. Administration of bolus intravenous (IV) antihypertensive treatment to lowerBP in patients without a true hypertensive emergency is a wasteful practice that is discouragedby hypertension experts; however, anecdotal evidence suggests this occurs with relatively highfrequency. Accordingly, we sought to assess the frequency of inappropriate IV antihypertensivetreatment in ED patients with elevated BP absent a hypertensive emergency.
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