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Suggest Treatment For High BP
Question: Yes, ly husband 88yrs, has COPD He is at home under Hospice Care. His BP is usually very low( all his fam is low) but today his sysytolic was 168/84/ he is not on any bp rx. I am a retired sych RN, and I decided to try to help him,and tralking with the pharmist. I gave him magnesum and coQ10. Tald him to drink lots of h2o.no caffeine etc OK?He also has a pace maker about 3 mos ago.Pulse is 60 He is also on 5 liters O2and does 2 rx day on nebulizer
Brief Answer:
salt reduction with good sleep.
Detailed Answer:
Hi,
I am Dr. Prakash HM and I will be answering your query.
Looking at the blood pressure, in my opinion it is not too high. As he is not hypertensive, stress induced increase could be probable.
However, avoid medications at present and try to use alternate methods like
1. Reduced salt in diet
2. Reduction of stress with stress relievers like music, having family around etc.
3. I do not think he is smoking or taking alcohol. If yes, need to stop it.
4. In increase potassium in diet.
5. If the hemoglobin is normal, not to worry. Both anemia and polcythemia can increase blood pressure.
6. Sleep should be regular. Last night bad sleep can affect today's blood pressure.
7. NSAIDS should be limited.
Blood pressure in the elderly needs to be reduced slowly. If it persists, low dose diuretics might be necessary.
Any further queries, happy to help again.
Dr. Prakash HM
salt reduction with good sleep.
Detailed Answer:
Hi,
I am Dr. Prakash HM and I will be answering your query.
Looking at the blood pressure, in my opinion it is not too high. As he is not hypertensive, stress induced increase could be probable.
However, avoid medications at present and try to use alternate methods like
1. Reduced salt in diet
2. Reduction of stress with stress relievers like music, having family around etc.
3. I do not think he is smoking or taking alcohol. If yes, need to stop it.
4. In increase potassium in diet.
5. If the hemoglobin is normal, not to worry. Both anemia and polcythemia can increase blood pressure.
6. Sleep should be regular. Last night bad sleep can affect today's blood pressure.
7. NSAIDS should be limited.
Blood pressure in the elderly needs to be reduced slowly. If it persists, low dose diuretics might be necessary.
Any further queries, happy to help again.
Dr. Prakash HM
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