elevated bp during tx

[toney]

hello experience dialysis nurse's

what does lowering the leg rest has to do with decreasing the pt bp an is there any thing else i can do during tx other than the obivious ,clonidne prn, pt taking hime med ond contacting md when pt bp goes and stay out in the ranges of 202/100 and better and heart rate is in the 100's im in the dark

[NephroBSN, BSN, RN]

hello experience dialysis nurse's

what does lowering the leg rest has to do with decreasing the pt bp an is there any thing else i can do during tx other than the obivious ,clonidne prn, pt taking hime med ond contacting md when pt bp goes and stay out in the ranges of 202/100 and better and heart rate is in the 100's im in the dark

What does keeping the feet up do when someone's pressure is low? It keeps it up right. If a patient's b/p is low you put their feet up.

So the opposite happens when you put their feet down the pressure goes down..

You could also increase their goal. Check to see what B/P meds they are taking, with that pulse sounds like they need a beta blocker. Toprolol XL comes to mind and some nephrologist let patient's take it before dialysis.

We had a patient recently who wouldn't come down and we put him on a patch. And darned if I can remember the name.. It's the one that's put on once a week...DARN.

You might have to lowered his dry weight over a couple of weeks.

Good luck

[chart209]

Find out if your patients are taking their BP tablets pre Hdx otherwise advise them not to take before there come for dialysis to reduce hypotention cause it will making it difficult for ultrafiltration to take place otherwise med need to be reviewed cause guidelines state that pre and post blood pressure should be less than 140/80mm Hg pre and 130/80 post Hdx. . Not sure if thats what you are asking. i understood the the led bit but that blood pressure is high and chances of cardiovascular problems are high.

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