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What Does This BP Value Of 152/84 In A Stage 5 Renal Failure Patient Indicate?
Question: My stage 5 renal failure spouse presents with a pule rate of 121 with a BP of 152/84.
this is right before initiating this evening's PD.
Is she possibly in jeopardy?
the labetalol dose is 200 mg (not 100).
this is right before initiating this evening's PD.
Is she possibly in jeopardy?
the labetalol dose is 200 mg (not 100).
Brief Answer:
No, peritoneal dialysis can be done
Detailed Answer:
Hi, thanks for posting the concern in HCM.
In stage v CKD hypertension and fluctuations of blood pressure levels are very common. The tachycardia obviously needs some assessment. But, a heart rate of 120 is not an absolute contraindication. Furthermore, labetalol is a novel antihypertensive which is free of the side effect of reflex tachycardia. So, if used for hypertension it won't increase the heart rate. But, with 200 mg substantial fall in blood pressure will be there and that needs to judiciously considered because blood pressure is not so high. You should consult your treating nephrologist for an opinion regarding the same. Assessment should also be done to find the cause of tachycardia. An Ecg should be done. If the rhythm is sinus and regular, anemia, dehydration, infection or fever need to be excluded. Therefore, you can pursue with the PD, but you have to consult the treating doctor ASAP.
If you find this answer helpful, please close the thread and rate my answer.
Regards
Dr Kaushik Sarkar
No, peritoneal dialysis can be done
Detailed Answer:
Hi, thanks for posting the concern in HCM.
In stage v CKD hypertension and fluctuations of blood pressure levels are very common. The tachycardia obviously needs some assessment. But, a heart rate of 120 is not an absolute contraindication. Furthermore, labetalol is a novel antihypertensive which is free of the side effect of reflex tachycardia. So, if used for hypertension it won't increase the heart rate. But, with 200 mg substantial fall in blood pressure will be there and that needs to judiciously considered because blood pressure is not so high. You should consult your treating nephrologist for an opinion regarding the same. Assessment should also be done to find the cause of tachycardia. An Ecg should be done. If the rhythm is sinus and regular, anemia, dehydration, infection or fever need to be excluded. Therefore, you can pursue with the PD, but you have to consult the treating doctor ASAP.
If you find this answer helpful, please close the thread and rate my answer.
Regards
Dr Kaushik Sarkar
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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