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Pharmacological Treatment for Paroxysmal Sympathetic Hyperactivity
Author(s) -
Elizabeth A. Shald,
Jacob A. Reeder,
Michael Finnick,
Ishani Patel,
Kyle Evans,
Rebecca K. Faber,
Brian W. Gilbert
Publication year - 2020
Publication title -
critical care nurse
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.342
H-Index - 44
eISSN - 1940-8250
pISSN - 0279-5442
DOI - 10.4037/ccn2020348
Subject(s) - medicine , sympathetic activity , medline , intensive care medicine , cardiology , heart rate , political science , blood pressure , law
Paroxysmal sympathetic hyperactivity, which affects up to 10% of all acquired brain injury survivors, is characterized by elevated heart rate, blood pressure, respiratory rate, and temperature; diaphoresis; and increased posturing. Pharmacological agents that have been studied in the management of this disorder include opiates, γ-aminobutyric acid agents, dopaminergic agents, and β blockers. Although paroxysmal sympathetic hyperactivity is a relatively common complication after acquired brain injury, there is a paucity of recommendations or comparisons of agents for the management of this disorder.

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