mssmith: suspect prob with second trial of spiro was that BP was dropping so much you were getting dizzy.

[Guest guest]

Did anyone check your standing pressure or post exercise pressure

(properly?).

Same reason for rapid heart rate.

What else were you on?

Were you on a low Na intake at the time?

CE

[Guest guest]

Never got post-exercise checked (which was the WORST dizziness!) but ny

nephrologist checked standing, seated, and lying down.

Was eating low sodium, 800mg/day or less if I can trust FitDay's calculations.

Was taking K 20 MEQ 1x/day, singulair 10mg, norethindrone .35mg to regulate

polymenorrhea, cyclobenzaprine 5-10mg when needed, fexofenadine 180mg.

I never once measured a normal or low BP during the three weeks on spiro -

always 150s/100s at home, sometimes higher at doctor's office.

I suspect I wasn't on a high enough dose since I never got past 37.5 mg.

>

> Did anyone check your standing pressure or post exercise pressure

> (properly?).

>

> Same reason for rapid heart rate.

>

> What else were you on?

>

> Were you on a low Na intake at the time?

>

> CE

>

[Guest guest]

I suspect you were on too high a dose and BP was falling with exercise. I have had pts get a fall in BP like you are talking about only with exercise. Reason I always check it when I get this story. Have seen it drop 50 mm Hg just standing up and down on toes 10 times.When doing the standing the arm must be supported so the center of the cuff is at heart level. Otherwise if it is hanging down at the side the fall may be missed due to hydostatic influences on BP measurement. Never got post-exercise checked (which was the WORST dizziness!) but ny nephrologist checked standing, seated, and lying down. Was eating low sodium, 800mg/day or less if I can trust FitDay's calculations. Was taking K 20 MEQ 1x/day, singulair 10mg, norethindrone .35mg to regulate polymenorrhea, cyclobenzaprine 5-10mg when needed, fexofenadine 180mg. I never once measured a normal or low BP during the three weeks on spiro - always 150s/100s at home, sometimes higher at doctor's office. I suspect I wasn't on a high enough dose since I never got past 37.5 mg. > > Did anyone check your standing pressure or post exercise pressure > (properly?). > > Same reason for rapid heart rate. > > What else were you on? > > Were you on a low Na intake at the time? > > CE >

[Guest guest]

Too high of a dose would have been more what my doctor expected - he figured I'd

respond to a very low dose.

He always supports the arm as you described - now that I think of it, he's the

only doctor I've ever been to who does this. His nurses also do this.

> > >

> > > Did anyone check your standing pressure or post exercise pressure

> > > (properly?).

> > >

> > > Same reason for rapid heart rate.

> > >

> > > What else were you on?

> > >

> > > Were you on a low Na intake at the time?

> > >

> > > CE

> > >

> >

> >

>

[Guest guest]

Holding in under his arm tends to raise the BP in some.Should be placed on a Mayo stand or something like it so the center of the cuff is level with the midpoint of the sternum CE Grim MD Too high of a dose would have been more what my doctor expected - he figured I'd respond to a very low dose. He always supports the arm as you described - now that I think of it, he's the only doctor I've ever been to who does this. His nurses also do this. > > > > > > Did anyone check your standing pressure or post exercise pressure > > > (properly?). > > > > > > Same reason for rapid heart rate. > > > > > > What else were you on? > > > > > > Were you on a low Na intake at the time? > > > > > > CE > > > > > > > >