Low BP

[MissyKew]

My BP was hi despite being on Diltiazem pils and Cattapress patches.  The doc added 20 mg of Lisinopril and changed my Cattapress patch to pills twice a day (the patch would come off).  this morning my BP was 86/67, I believe.  All through dialisys, it was rediculously lower than that.  When I stood up at the end of the treatment it came up into the 80's again.  I came home and took my BP with my home machine and it won't register.  I trouble shot the machine, tried it on its electrical cord, just wouldn't register.  My boyfriend came over and I checked his bp and it registered fine.  I have been dragging, feel lethargic, a little head achey and cold as can be.  I am a person who perfers it cool.  I run the temps in the house low and run a small heater in my computer room.  Turning the heat up to blast furnace is not what I do!  So, the doc at dialysis, did decrease the Lisinopril to 10 mg.    Hopefully tomorrow I will have a bp that will register....

[kidneydoc]

Wow...that BP sounds way too low particularly if you are having symptoms. It seems that they have broken through your hypertension pretty suddenly. Precipitous falls such as this can happen in people who are very resistant particularly when the blood pressure goes up towards the end of dialysis and after dialysis. A situation called intradialytic hypertension. One approach  is to aggressively treat the bp and ultrafiltrate more and more until you break through back into normal pressure. The only problem is if you front load with medication you can end up with a really low blood pressure after you have overcome the bodies ability to compensate for the ultrafiltration and your blood pressure plummets.

[MissyKew]

Hi Kidneydoc....

Thank you for replying.  I am afraid I didn't understand all of what you just said.  I am only about 4 months into dyalysis and this is all pretty new to me.  Can you explain that a luttle more simply for me, please?  Brain isn't really grasping what you said.

Thank you.....

[MissyKew]

i have decided not to take the Lisinipril today.  I got up this morning and my machine could not read my BP again.  I have not peed but maybe a couple teaspoonful since my BP dropped.  I hope that this isn't killing what little function I had left in my kidney.  I just tried taking my BP again and it registered...90/65.  Much  better than yesterday's 60's over 40's and 30's.  Moving in the right direction.

Kidney doc...I just reread your post and I think i have got it...thank you...

[MissyKew]

Only peed twice today and then only  a couple teaspoonfuls.  I think I have lost the rest of my kidney.