low blood pressure concerns

onestronglittlelady

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low blood pressure concerns

« on: April 05, 2011, 07:46:11 AM »

Yesterday I didn't check how much they were taking off, and they pulled 2500 (the most every!). Afterward my blood pressure was lower than every, and even this morning it was low at 89/45. How long will this last? I feel like a Mac truck ran me over! I am wondering if I might be dehydrated as the took so much off my little 110# body. Then someone else said I might have arethmia (never had before). I'm hoping someone else has experienced this and can give me some direction. Lesson learned - check my machine everytime.


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greg10

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Re: low blood pressure concerns

« Reply #1 on: April 05, 2011, 10:02:20 AM »

I am sorry to hear that.
I assume you know about your UF (ultrafiltration) limit? For a 110lb person or 50kg it should be:
10 ml/hr/kg * 50kg = 500 ml /hr or half a liter per hour. If you are in center, you are usually under a time constraint to hit your dry weight - which is a poor way to dialyze. That means you should have been dialyzed for more than 5 hours in order to get 2.5 liters out - but I assume they didn't follow that.

This UF limit should also be age related, that is if you are an older person, you should adjust it downwards.

Rapid fluid removal during dialysis is associated with cardiovascular morbidity
http://ihatedialysis.com/forum/index.php?topic=20596.msg343443#msg343443


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Newbie caretaker, so I may not know what I am talking about

Caretaker for my elderly father who has his first and current graft in March, 2010.
Previously in-center hemodialysis in national chain, now doing NxStage home dialysis training.
End of September 2010: after twelve days of training, we were asked to start dialyzing on our own at home, reluctantly, we agreed.
If you are on HD, did you know that Rapid fluid removal (UF = ultrafiltration) during dialysis is associated with cardiovascular morbidity? http://ihatedialysis.com/forum/index.php?topic=20596
We follow a modified version: UF limit = (weight in kg) * 10 ml/kg/hr * (130 - age)/100

How do you know you are getting sufficient hemodialysis? Know your HDP! Scribner, B. H. and D. G. Oreopoulos (2002). "The Hemodialysis Product (HDP): A Better Index of Dialysis Adequacy than Kt/V." Dialysis & Transplantation 31(1). http://www.therenalnetwork.org/qi/resources/HDP.pdf

Ang

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Re: low blood pressure concerns

« Reply #2 on: April 20, 2011, 10:57:41 PM »

firstly weigh yourself, figure out what your weight is and were it should be,having experienced this first hand ,to much fluid has been removed and you are de hydrated.
you are most likely under your base weight, you need to get back there,drink slowly.
as you get back to your base weight, you should feel somewhat better and your BP should come back to what YOU consider normal for you.
when you go to dialysis, ask questions regularly(who what when where why),so this does'nt happen again,cause this is not pleasant at all.


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live life to the full and you won't die wondering

BillSharp

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rock 'n roll will never die

Re: low blood pressure concerns

« Reply #3 on: April 23, 2011, 10:52:54 AM »

Low BP was why I quit In-Home-Dialysis. Dropping down to 60/30 (happened twice) is no fun at all. Now that I'm in center, I've found that no matter my "wet" weight, I can't tolerate taking off more than 3 kilos. If I do, my BP plummets.

Hope this helps.
Bill


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Started passing stones at age 14 (Cystinuria)
Transplant in 1989 at age 50
Transplant failed in 2009 at age 70
Hemo and transplant list
Cadaver Transplant 7/1/2011 at age 72 (zero mismatch)

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