Michael Schaier, MSN, BS, RN-BC, PCCN
Michael Schaier, MSN, BS, RN-BC, PCCN is a frequent contributor to RN Journal with 2 articles published to date.
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A nursing-driven approach towards reducing hypertension: a focus on evening dosing and circadian rhythm
Tags: Antihypertensives blood blood pressure Chronotherapy hypertension hypertensive medication treatment
There are increasing data supporting evening administration as a means of achieving better BP control through re-establishing normal sleeping dipping patterns, thereby preventing the development of comorbidities. Additionally, this dosing change has been shown to prevent the morning surge, a precursor to negative cardiovascular (CV) events, including heart attack and stroke. When the costs are high both fiscally and medically, simple and cost-free interventions should be the first-line treatments.
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A common link in the modifiable risk factors for severe COVID-19
Tags: coronavirus COVID-19
Certain comorbidities, such as hypertension and diabetes, are often diagnosed once a patient has been hospitalized with COVID. Current thought suggests that these people had the medical condition, but it was not diagnosed until they were hospitalized. In this article I offer a reason as to why that may be. Based on this perspective, I further stress the importance of health maintenance in disease prevention.
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