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March 24, 2009

Dear Subscriber,

A hypertensive crisis can be categorized as hypertensive emergency or hypertensive urgency. Hypertensive emergency is when blood pressure is severely elevated (greater than 180/120 mm Hg) and there is evidence of impending or progressive target organ damage. Hypertensive urgency is the term used to describe a severe elevation in blood pressure without evidence of target organ damage.

The development of a hypertensive crisis is often related to the presence of long-standing hypertension that hasn’t been optimally managed. Other causes include the following:

	Taking Aim at Hypertensive Crises
	Treatment of Asymptomatic Severe Hypertension in the Emergency Department: An Acute Finding of a Chronic Condition
	Progress in Prevention: Raising the Bar to Lower Blood Pressure: Key Steps to Improve Blood Pressure Control Rates
	Using a Multidisciplinary Team and Clinical Redesign to Improve Blood Pressure Control in Patients with Diabetes
	The Association of Low Birth Weight and Physiological Risk Factors of Hypertension in African American Adolescents
	Beta Testing of a Network-Based Health Literacy Program Tailored for Older Adults with Hypertension

head injury

pheochromocytoma
combining a monoamine oxidase inhibitor and foods containing tyramine
eclampsia/severe preeclampsia
substance abuse
renal parenchymal disease
renovascular disease.

Read more about hypertension and hypertensive emergencies by exploring the articles in NursingCenter's "More Resources." Don't miss our next issue focusing on I.V. therapy, plus the latest articles and CEs.

Lisa Bonsall, MSN, RN, CRNP
Clinical Editor

Acute liver failure is a medical emergency that commonly results from toxic agents or infectious disorders. Review the involved pathophysiologic mechanisms and patient management by reading Recognizing and Responding to Acute Liver Failure.
(2.1 contact hour)
Nursing2009

All nurse leaders make decisions which must take into account human and fiscal resources. Allow your visions to become reality - don't miss Nursing Strategy: What''s Your Plan?
(1.8 contact hours) Nursing Management

Normal growth depends on many factors - genetics, nutrition, environment, metabolism, and hormones. Learn how to recognize problems early and become a partner in Helping Kids Grow.
(2.4 contact hours) The Nurse Practitioner: The American Journal of Primary Health Care

Supply, demand, hypertrophy, preload, afterload - we remember the words, but do we remember what they mean? Don't miss this refresher on Understanding Heart Failure.
(2.3 contact hours) LPN2009

Review our Recommended CE list on caring for a medical/surgical patient with MS, chronic wound infection and antimicrobial use...

Help patients take charge of chronic disease. Learn how by exploring Empowering Patients with Diabetes.
Nursing2009

Sexual dysfunction associated with urinary incontinence may not be reported by women because of the sensitivity of the subject. Remember to routinely assess for incontinence and associated consequences. Be sure to read When Worlds Collide: Urinary Incontinence and Female Sexuality.
AJN, American Journal of Nursing

Find out what you need-to-know before and during an interview. Take time to examine Career Scope: Tips for Nurse Managers to Find the Job of Their Dreams.
Nursing Management

Have you ever been in the situation when healthcare providers believe that continued treatments are futile, but the patient or family desires continued intervention? Explore the ethical issues related to Medical Futility: A Paradigm as Old as Hippocrates.
Dimensions of Critical Care Nursing

Browse our Recommended Readings about helping bullying among nurses, unlocking the secrets of 2 common cardiac conditions, better patient surveillance, and more.

How Proper Documentation May Reduce Your Lawsuit Risk

Good documentation can help you defend yourself in a malpractice lawsuit, and it can also keep you out of court in the first place. You have to make sure it's complete, correct, and timely. If it's not, it could be used against you in a lawsuit.

Download the Special Report Now

Read the articles in the latest Featured Journal online only on NursingCenter. The Featured Journal gives you the opportunity to get acquainted with the kind of coverage and clinical information it has to offer. Get to know our journals. The current Featured Journal is...

Are you familiar with having too much to do and too little time? I thought so! Delegation is an essential part of professional nursing practice and use of this skill improves with practice. Don't miss PROFESSIONAL GROWTH: 10 Tips for Successful Delegation.

Webcast: A New Look at the Old
Shades of Gray: Depression & dispiritedness in older adults
Screening for depression is far simpler than many perceive. In fact, many tools exist which can be self-administered while waiting for appointments, and new models of care for depression can dramatically reduce the incidence and improve overall health status. This program discusses the importance and benefits of screening for and treating depression; many of the screening tools available; and highlights the success of project IMPACT (Improving Mood: Promoting Access to Collaborative Care).

View the Webcast! for more details.

The FDA has approved the following new indications:

Symbicort (budesonide/formoterol fumarate dihydrate) 160/4.5 mcg pressurized metered dose inhaler for the twice-daily maintenance treatment of airflow obstruction in patients with chronic obstructive pulmonary disease, including chronic bronchitis and emphysema.
Copaxone (glatiramer acetate injection) to treat patients who have experienced a first clinical episode of multiple sclerosis (MS) and have magnetic resonance imaging features consistent with MS.

See more drug news.

The College Network
Fast-Track RN to MSN (Bridge Program) - Earn both your BS/MS in Nursing in ½ the time at ½ the cost from Regis University.