Do I need to treat supine hypertension in my hospitalized patient?

Do I need to treat supine hypertension in my hospitalized patient? Q:My 68-year-old patient is hospitalized for treatment of community-acquired pneumonia.There is no history of hypertension, but at a 2 AM check of vital signs, the patient's supine blood pressure (BP) was 178/96 mm Hg.Heart rate is 68 beats per minute, respiratory rate 16 breaths per minute, and oxygen saturation 96% on oxygen delivered by nasal cannula at 2 L per minute.There is no evidence of acute end-organ damage.Do I need to treat this patient's elevated BP?