At what blood pressure is it time to get medicated?

[bigdaddy22]

Your bp is concerning and I agree that you need to go see a doc very soon.

 

[GymLift]

You need to get a doctors app't ASAP.

Got an appointment on Tuesday morning.

Thanks for the help everyone, especially SCNTO and bigdaddy22.

 

[GymLift]

I have come across this webpage that indicates the wrist monitors are more accurate than the mercury sphygmomanometer. I was skeptical, so I looked up the medical journel article that it referenced (through my wife's account for nursing school) and sure enough, that is what the article says.

Many healthcare professionals mock the wrist monitor because it sometimes gives different results than their mercury sphygmomanometers (I think that's what they use?) but perhaps they have it the wrong way around.

Or this study could be a fluke.

 

[GymLift]

Actually, upon further reading, I think they most often use a Aneroid Manometer.

 

[Behemoth]

Okay, well what if your systolic is over 130 a bit, maybe even hitting 140 once in a while, but your diastolic is still well under 70. What the heck does that mean?

 

[Mr. dB]

Tonights automated readings:
151/93
157/92

Are you "on" right now?

 

[bigdaddy22]

Are you "on" right now?

LOL It took all the way to the second page to ask that question. I feel pretty stupid for not thinking about that myself, although I beleive mrank is NOT on.
As for the article you read concerning the bp wrist monitor let me know the title or something so I can look it up too. Nevermind I saw you posted a link. I really question this research right now and need to see the original article. I find it interesting that this was published in 1998 and yet I never see the wrist cuff being used.

 

[GymLift]

Fuck.

Tonights numbers around 9-10pm (was at the gym from 5pm through 7:30pm):

176/98 (wrist)
161/102 (wrist)
150/80 (taken by wife)
170/98 (wrist)
158/100 (wrist, 10 minutes later)

These numbers might perhaps be influenced by Adderall. I took 20mg (legally) about 6 hours ago.

Did two minutes of cardio at the gym prior to lifting weights.

 

[GymLift]

Are you "on" right now?

Never been on, except for testosterone replacement therapy (TRT). Although, lately I've used less testosterone cypionate and more hCG. This may have elevated my serum estrogens. But I don't have sensitive nipples or anything like that.

As for the article you read concerning the bp wrist monitor let me know the title or something so I can look it up too. Nevermind I saw you posted a link. I really question this research right now and need to see the original article. I find it interesting that this was published in 1998 and yet I never see the wrist cuff being used.

If you have access to that journal, then you might also do a search for 'wrist' and you'll find some more recent articles regarding those monitors. Seems like all of their articles test the Omron (sp?) brand; not sure why...my panasonic unit cost about the same as the Omron unit ... maybe Omron has a better marketing department and they push to have their device tested...not sure.

 

[bigdaddy22]

how often do you take your adderall? This may play a big role in your blood pressure. How long have you been on the medication for? I guess this is why they emphasize taking a good history in school so that you do not over look things like the patients meds! I am such a rookie

 

[jpflex66]

ok first of all 140/80 is FINE your not introuble for that reading--i even had paramedics explain that even anything under 150/90 is fine , but if higher than that go to doctor.

 

[GymLift]

how often do you take your adderall? This may play a big role in your blood pressure. How long have you been on the medication for? I guess this is why they emphasize taking a good history in school so that you do not over look things like the patients meds! I am such a rookie

You would have had the patients medications listed on the patient chart.

I've been taking the Adderall for over 5 years now. I'll try and skip my dose on the weekend (if my wife can bare me) and see how big of a difference that appears to make.

If the Adderall brings my blood pressure up, say, 10 points, then simply discontinuing the Adderall isn't such an easy solution for me. If suffered without it until I was almost 22. It is a important to me in my career, education, and even life at home.

I'll monitor it the BP several times/day over the next several days until the practitioners appointment. (See, I'm trying not to use the term doctor's appointment in recognition that PA and Nurse practitioners often treat patients without direct physician intervention)

This mornings reading on the wrist monitor: 140/89

 

[StoneColdNTO]

Fuck.

Tonights numbers (was at the gym a few hours back):

176/98 (wrist)
161/102 (wrist)
150/80 (taken by wife)
170/98 (wrist)
158/100 (wrist, 10 minutes later)

These numbers might perhaps be influenced by Adderall. I took 20mg (legally) about 6 hours ago.

Did two minutes of cardio at the gym prior to lifting weights.

If those numbers were taken at the gym, then they don't mean anything. BP always rises with excercise. I remember when I did my tread mill stress test at the cardiologist, my BP was something like 190/100 and he said that was perfectly normal under the circumstances.

BP has to be taken at rest.

 

[farina]

StonecoldNTO wrote "BP has to be taken at rest"

I've been told the same thing. To my knowledge you want the high number to be under 140. Isn't 120/80 the accepted "ideal" if you will? It seems that your BP would come down if you waited a couple hours after your w/o to take it.

 

[bmass]

when you get nose bleeds maybe

 

[GymLift]

If those numbers were taken at the gym, then they don't mean anything. BP always rises with excercise. I remember when I did my tread mill stress test at the cardiologist, my BP was something like 190/100 and he said that was perfectly normal under the circumstances.

BP has to be taken at rest.

I took the blood pressure a few hours after leaving the gym, but thanks for the information, anyway. I'll clarify my post.

 

[bigdaddy22]

I'll monitor it the BP several times/day over the next several days until the practitioners appointment. (See, I'm trying not to use the term doctor's appointment in recognition that PA and Nurse practitioners often treat patients without direct physician intervention)

Thanks! It is nice to get a little respect even if it is only on the internet. I would never suggest that you come off of your Adderall as I have delt with patients that have ADHD etc... and have seen patients that are non compliant with their meds and have seen the havock in their lives because of it. just wait and see what the "health care provider" tells you and keep us up to date.

 

[GymLift]

I've been prescribed an ACE inhibitor, lisinopril (brand name: Zestril).

Wonder why diuretics tend to be prescribed first. Oh well.... maybe I'll find out.