Featured Article| Volume 19, ISSUE 3, 104525, March 2023

Management of Hypertension in the Older Adult Hospitalized With Community-Acquired Pneumonia

Published:February 02, 2023DOI:


      • Hypertension and community-acquired pneumonia increase cardiovascular risks.
      • Multiple factors affect the inpatient management of hypertension in older adults.
      • Guidelines do not exist for inpatient management of hypertension for older adults.
      • Intensified vs nonintensified treatment does not offer additional risk reduction.


      Management of hypertension in older adults who are hospitalized is challenging. Many older adults have multiple comorbidities, with hypertension being common. Nurse practitioners are vital in managing hypertension in older adults who are hospitalized with community-acquired pneumonia. The differences in national guidelines for hypertension management and the lack of guidelines for inpatient hypertension management make it difficult to choose the best blood pressure goal for these vulnerable patients. This report addresses the management of hypertension in older adults hospitalized with community-acquired pneumonia.


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      Jennifer M. Tam, BSN, RN, CCRN, who can be reached at [email protected], and Kelsey M. McHugh, BSN, RN, CCRN, are both RNs at the Harborview Medical Center, Seattle, WA, and are third-year DNP students in the Acute Care Adult Gerontology track at the University of Washington in Seattle.