BP meds

[Pat_McCrotch]

We had a lady brought in to our ER not too long ago and i wanted to share what happened to her.

Husband woke up about 330 and found his 41 y/o wife not breathing. he started CPR then called 911. We get her in fully intubated no heart beat not breathing on her own at all. Family is hysterical. Only real medical history was mild high BP 150/60 in that range. she started taking a BP med and just started that night per the husband maybe the night before. I believe it was atenolol. I think thats what i heard during all the commotion. We wroked her for about an hour.

We get a HR back and in minutes lose it. Never really had a BP but those are hard to get. She didnt make it. of course we do not know what happenned until the autopsy is complete and we never will know unless the family comes and tells us.

The labs were all normal. no sign of a heart attack or any indication she blead out. Lytes were close to normal range. CXR normal. The only thing the ER MD could think of was the new med. the brain needs a systolic BP of around 80 to perfuse the brain. He thinks that even at the low dose she was one that was sensitive to BP meds and it dropped her down low enough long enough to cause an ischemic stroke.

the only point I wanna make here is if you are juicing your BP may go up. Then you wanna take a BP med to be safe not to have high BP, which 9 out of 10 times it is not all that high, so you wont stroke out with a high bp. Who knows what killed this lady.

Do you really wanna self prescribe a cardiac med to lower your BP w/o a MD to oversee it? i know i dont. Hell if a MD gave her this med and he/she went to school for this for 8+ years and this happenned i would hate to see what happens when a person w/o any medical background decides to take.

 

[lanky]

thats terrible to hear, strokes are devastating, i hope they find something on the autopsy. i hope they question the husband good to find out if she had any syncope, headache or nausea etc..before she went to bed,,like you said maybe the low BP and she could have brady'd down during sleep and that combo was enough to cause problems,,who knows,i hope they find something..agree with he self medicating part,

ive seen pts in their late 30's early 40's come in with TIA vs. Stroke,,get their whole million dollar stroke workup done ,CT,dysphagia screen, MRI,MRA, 2D echo, carotid us, fasting lipid panel,neuro consult,PT,OT, case mgmt, remote tele, clotting factor workup, TEE to see if a PFO is present.

 

[ukkared]

Damn that is terrible but a really informative story. It would seem only common sense to me not to self prescribe BP meds, but as we all know there are people that will risk it.

 

[Pat_McCrotch]

The stroke thing was only a guess by the ER md. who knows what may have happenned?

 

[Selfcentor]

I dont know her history but if she never exercised or rarley did and her diet was bad than she has more risk factors for a stroke related to her high BP. Most people taking gear work out consistantly and also have strict and at least decent diets decreasing the risk factors. Just IMO

 

[sparetire]

sorry to hear about that lady. Let us know what the doc finds. I never knew that about lowering your bp - about your brain and all/stroke wise...crazy..

 

[Pat_McCrotch]

I dont know her history but if she never exercised or rarley did and her diet was bad than she has more risk factors for a stroke related to her high BP. Most people taking gear work out consistantly and also have strict and at least decent diets decreasing the risk factors. Just IMO

Like I said in the post her BP was not high it was in the 140s maybe 150s. that is not a big irsk for a HTN stroke. and she didnt look like she worked out. like i sadi ti can be anything.

Just because you work out does not mean you are worry free from stroke or heart attack. the point of the post was not to talk about having a stroke or the rick factors it was about self medicsting with BP meds that can be dangerous.

 

[Pat_McCrotch]

sorry to hear about that lady. Let us know what the doc finds. I never knew that about lowering your bp - about your brain and all/stroke wise...crazy..

yea, i doubt we will ever hear unless the family comes in and tells us what they found. Sometimes it happenns.

Your brain needs circulation and if it is not getting enough it will die just like anyother orgsn in the body.

 

[Selfcentor]

I agree but it reduces risk factors...thas how they decide whos at risk..

 

[Pat_McCrotch]

Your missing the point dude. i am not here to argue your "expert" medical advice.

 

[Maxx Out]

Wow! Make you think twice about what to put in your body!

 

[Acela]

Errn, you bring an interesting perspective to this board

I find your posts quite insightful continue sharing

We had a lady brought in to our ER not too long ago and i wanted to share what happened to her.

Husband woke up about 330 and found his 41 y/o wife not breathing. he started CPR then called 911. We get her in fully intubated no heart beat not breathing on her own at all. Family is hysterical. Only real medical history was mild high BP 150/60 in that range. she started taking a BP med and just started that night per the husband maybe the night before. I believe it was atenolol. I think thats what i heard during all the commotion. We wroked her for about an hour.

We get a HR back and in minutes lose it. Never really had a BP but those are hard to get. She didnt make it. of course we do not know what happenned until the autopsy is complete and we never will know unless the family comes and tells us.

The labs were all normal. no sign of a heart attack or any indication she blead out. Lytes were close to normal range. CXR normal. The only thing the ER MD could think of was the new med. the brain needs a systolic BP of around 80 to perfuse the brain. He thinks that even at the low dose she was one that was sensitive to BP meds and it dropped her down low enough long enough to cause an ischemic stroke.

the only point I wanna make here is if you are juicing your BP may go up. Then you wanna take a BP med to be safe not to have high BP, which 9 out of 10 times it is not all that high, so you wont stroke out with a high bp. Who knows what killed this lady.

Do you really wanna self prescribe a cardiac med to lower your BP w/o a MD to oversee it? i know i dont. Hell if a MD gave her this med and he/she went to school for this for 8+ years and this happenned i would hate to see what happens when a person w/o any medical background decides to take.

 

[LAN T]

Errn, you bring an interesting perspective to this board

I find your posts quite insightful continue sharing

SO .... You on clomid or something bro.

 

[Pat_McCrotch]

LOL no he just loves me. lol. thanks Acela.

 

[Acela]

SO .... You on clomid or something bro.

It's just obvious to me that he has some background in medicine or something related.

I think to get his perspective on various topics is important because it would be on a first hand basis, where a lot of topics on this board are simply "theory" and nothing else.

BTW I am on clomid (day 23 of p'c't)

 

[triceptor]

Great post. i often wonder about the real effects of what is considered high blood pressure. in the first place I think the methods used by GP's to determine that their patients have HBP is flawed. The BP cuff is not effective (IMHO) at determining venous BP. Its akin to squeezing a hose and trying to determine the water pressure inside. There are too many variable that can effect the results - thickness and flexibility of the hose, etc. I stand to be corrected but in critical cases where BP needs to be monitored accurately in a hospital setting they use an intravenous device that works more like the pressure gauge in your automobile oil system. I take my BP every few days and I know that I can effect the reading by a variety of actions such as pumping my upper arms prior to reading, the angle in which I hold my arm in relationship to the horizontal plane and level of my heart, whether I place my arm on a table and relax it or hold it out on its own. All of these variable can take my BP from excellent to prehypertensive during the same reading.

I truly believe that there are people out there who are prescribed BP lowering drugs that may not need them.

 

[ksbst9mm]

Damn that is terrible but a really informative story. It would seem only common sense to me not to self prescribe BP meds, but as we all know there are people that will risk it.

maybe im wierd but i would never take bp meds, unless perscribed. but as ive stated b4 i get regular blood work done, bp taken a few times a day, and i am a true believer that hard work and lower dosed cycles are the way to go.

work, eat, lift.... repeat.

ksbst9mm

 

[holy ghost]

you guys who want to look like jay cutler and shit realize this

the bigger and more LBM tissue you have the higher your BP becomes to compensate the greater body area therefor your heart must work harder and grow bigger to compensate REALIZE THIS!

 

[Selfcentor]

you guys who want to look like jay cutler and shit realize this

the bigger and more LBM tissue you have the higher your BP becomes to compensate the greater body area therefor your heart must work harder and grow bigger to compensate REALIZE THIS!

True that

 

[lanky]

Great post. i often wonder about the real effects of what is considered high blood pressure. in the first place I think the methods used by GP's to determine that their patients have HBP is flawed. The BP cuff is not effective (IMHO) at determining venous BP. Its akin to squeezing a hose and trying to determine the water pressure inside. There are too many variable that can effect the results - thickness and flexibility of the hose, etc. I stand to be corrected but in critical cases where BP needs to be monitored accurately in a hospital setting they use an intravenous device that works more like the pressure gauge in your automobile oil system. I take my BP every few days and I know that I can effect the reading by a variety of actions such as pumping my upper arms prior to reading, the angle in which I hold my arm in relationship to the horizontal plane and level of my heart, whether I place my arm on a table and relax it or hold it out on its own. All of these variable can take my BP from excellent to prehypertensive during the same reading.

I truly believe that there are people out there who are prescribed BP lowering drugs that may not need them.

a very accurate thought on what actually happens in every hospital, every minute, every day with the automatic inflating BP cuffs. so massive doses of BP meds get ordered for a patient who supposively has a BP of 210/110,,,when actually their BP is 160/86

yes the arterial line for monitoring BP is the Best

 

[access]

a very accurate thought on what actually happens in every hospital, every minute, every day with the automatic inflating BP cuffs. so massive doses of BP meds get ordered for a patient who supposively has a BP of 210/110,,,when actually their BP is 160/86

yes the arterial line for monitoring BP is the Best

I know your only providing an example here but 160/86 is still considered to be a high blood pressure reading.

 

[Pat_McCrotch]

a very accurate thought on what actually happens in every hospital, every minute, every day with the automatic inflating BP cuffs. so massive doses of BP meds get ordered for a patient who supposively has a BP of 210/110,,,when actually their BP is 160/86

yes the arterial line for monitoring BP is the Best

the NIBP is the most accurate we have when triaging someone. We cannot drop an arterial line in every patient that comes in. Use the word "every" cautiously. That is an all encompassing word which is not accurate at all. every ER is different, and every ER md is different. Generally if a pt comes in c/o of a headache, blurred vision, and dizzy and we gt a reading like you stated then chances are it is right.

If we get a reading that high and the patient does not show any signs of a BP that high then the next best thing is a manual blood pressure. Most hospitals/ER docs know what they are doing some dont and are dangerous.


Yes 160/80 is considered high BP but it is not an emregency. So please if you get a reading like that please dont come to the ER cause you will be waiting a very very long time in the lobby if we get busy.

The point of this thread was to say be careful self medicationg with BP meds. Yall dont know how your bodies will react and when not under direct supervision of a MD you increase the risk of doing serious damage.

 

[lanky]

the NIBP is the most accurate we have when triaging someone. We cannot drop an arterial line in every patient that comes in. Use the word "every" cautiously. That is an all encompassing word which is not accurate at all. every ER is different, and every ER md is different. Generally if a pt comes in c/o of a headache, blurred vision, and dizzy and we gt a reading like you stated then chances are it is right.

If we get a reading that high and the patient does not show any signs of a BP that high then the next best thing is a manual blood pressure. Most hospitals/ER docs know what they are doing some dont and are dangerous.


Yes 160/80 is considered high BP but it is not an emregency. So please if you get a reading like that please dont come to the ER cause you will be waiting a very very long time in the lobby if we get busy.

The point of this thread was to say be careful self medicationg with BP meds. Yall dont know how your bodies will react and when not under direct supervision of a MD you increase the risk of doing serious damage.

true

 

[access]

Yes 160/80 is considered high BP but it is not an emregency. So please if you get a reading like that please dont come to the ER cause you will be waiting a very very long time in the lobby if we get busy.

The point of this thread was to say be careful self medicationg with BP meds. Yall dont know how your bodies will react and when not under direct supervision of a MD you increase the risk of doing serious damage.

Understand. I am actually on BP meds and have been for years. They have never been able to determine why I have naturally high BP so unfrotunately have to have it medicated. I have tried all sorts of different things to come off the meds but nothing seems to work. Anyways in my case I regularly see my blood pressure at 160/80 while on cycle so have to monitor it closely and have BP monitor at home for this purpose. I also regularly have my doctor check it as he is aware when I go on cycle (although he doesn't particularly like it ) just to ensure all is in check.

 

[halfcenturian]

Understand. I am actually on BP meds and have been for years. They have never been able to determine why I have naturally high BP so unfrotunately have to have it medicated. I have tried all sorts of different things to come off the meds but nothing seems to work. Anyways in my case I regularly see my blood pressure at 160/80 while on cycle so have to monitor it closely and have BP monitor at home for this purpose. I also regularly have my doctor check it as he is aware when I go on cycle (although he doesn't particularly like it ) just to ensure all is in check.

Ditto. I DO take an extra half dose BP med, Avapro, when I'm on cycle.
I monitor EOD. I'm alway in the 140-150 / 80-90 range on cycle. I'm 205.
130/70 off cycle. It's genetic.

 

[al_ny]

I Was Getting High Bp For Test Cyp. Current Cycle Using Test Prop. Bp Has Gone Up A Little But Not That Bad. My Doc Says Bp Meds Should Be Avoided. If You Need To Take Only Take For Short Periods.

 

[Pat_McCrotch]

Understand. I am actually on BP meds and have been for years. They have never been able to determine why I have naturally high BP so unfrotunately have to have it medicated. I have tried all sorts of different things to come off the meds but nothing seems to work. Anyways in my case I regularly see my blood pressure at 160/80 while on cycle so have to monitor it closely and have BP monitor at home for this purpose. I also regularly have my doctor check it as he is aware when I go on cycle (although he doesn't particularly like it ) just to ensure all is in check.

your one of the few on here that are up front with your MD about being on cycle. it makes his job easier and he can adjust accordingly. yea 160/80 constantly can wear you down over the years. I am sure you know what can happen. i hope they can figure it out for you.