Sitting or standing blood pressures?

[jo]

My mom's standing BP is lower than the BP's while sitting or at rest. The sitting BP's show systolic 190 while the standing BP would read systolic 150. Which reading should be taken into consideration - sitting or standing BP? Has anyone else had this issue? Thank you.

[solid98]

I think everybody has a drop in blood pressure standing versus sitting. My neph specifies he wants all the readings I record to be standing.

[Charlie B53]

On PD we or I was taught to take sitting AND standing pressures both morning and night.   The evening pressures can indict condition of water balance.  Too wet will require me to use a stronger solution during Dialysis to draw off more water.  Too dry I use weaker solutions to draw off less water.

Morning pressures can indicate how well I did.

If my pressures are off much I have to check my manual, I don't like to make the wrong assumption about this so I look to be SURE.

I don't know what is required of hem patients yet.  I just started hemo today.

[Fabkiwi06]

Generally, I take mine standing. If it's wonky (much lower or higher than expected), I'll retake and check sitting too to be sure.

[Michelle2016]

From the Internet, the universal standard to take BP: sit, and put arm straight at the level of heart.

[Riki]

They do both to be sure that you're not going to pass out when you stand up.  Your body has just been through a workout, and your heart may not be able to handle the strain of standing.  In my center, they do the standing while you're still connected, after the blood has been returned, just in case they need to give extra fluid.  It doesn't happen often with me, though.  I'm one of those weird people who's bp goes up when they stand up, but is low through the treatment

[Charlie B53]

Whoo Hooo!   Within the last week of adding OTHER BP med I've had three sitting in the 130's.  The rest of the time I'm still around my 'more normal for me' 170's.   Nurse told me they will be happy when I am a consistent 150's.   Yeah, as IF that's gonna happen.  100 mics of fentenyal it is.  I've told them it's only the pain.

[Riki]

Whoo Hooo!   Within the last week of adding OTHER BP med I've had three sitting in the 130's.  The rest of the time I'm still around my 'more normal for me' 170's.   Nurse told me they will be happy when I am a consistent 150's.   Yeah, as IF that's gonna happen.  100 mics of fentenyal it is.  I've told them it's only the pain.

I don't remember exactly how long it's been, but if I remember right, you haven't been on HD that long, right?  Sometimes it takes a bit for your body to regulate.  Trust me, the first time they take off too much fluid, you'll notice.  When that bp goes into your boots, there's no mistaking the feeling.  Although, I have a bit of anxiety sometimes near the end of my run that sometimes feels the same as my bp dropping, so I wait a minute or two before calling the nurses over to see if it passes

[PrimeTimer]

After doing dialysis for more than 3 years, my husband had a normal BP reading upon standing today. Usually it shoots up for a few minutes. That was good news but we have no idea why his BP was suddenly normal. Don't know if it has anything to do with it but he hasn't been constipated lately. Told him to try adding cucumbers to his salads and he did and no more constipation. Go figure.    I knew cucumbers might help but didn't know they'd help this much.

[Charlie B53]

Not only cucumbers, but many fruits and vegetables can help to prevent constipation.  The added bulk, fiber and water are what make the difference.  If cukes are working for him then stay with it.

There was a thread recently that pointed out a medical study where they recorded the effects of added serving of fruit and veggies on health in general.  Control group with no changes and study groups with the added fruits and veggies.  Over the study period there were great measurable improvements in most ALL areas of health.

Shouldn't have been such as big surprise.  We tend to eat what is cheap, easy, and convenient, most none of which is healthy.