My doctor wants to increase the dosage of the methydopa I am currently taking. I am hesitant about doing that since my blood pressure during the day is low and so is my pulse rate.
How can I remedy my blood pressure from skyrocketing when I go to the doctor to have it checked?
- Asked
- 27 Nov 2013 by skyrocketbp
- Updated
- 29 Nov 2013
- Topics
- dosage, doctor, blood pressure, pulse, blood, pressure, remedy
Details:
Responses (3)
kaismama
27 Nov 2013
Do you take your blood pressure every day and chart it? If so give your dr a copy. There is a great app for keeping track of it. Its called ibp. You can print out a report that tells him everything. Docs should be aware of white coat syndrome, the bp going up in the office, at least enough to trust your chart as much as what he sees himself. I do that and always have, there is no way to stop it from happening.
Kitty
27 Nov 2013
kaismama
27 Nov 2013
funny thing is, I feel relaxed. I have never had fear of the dr, and got along very well with the primary I had for 15 yrs, yet she's never seen a normal bp for me.
DzooBaby
27 Nov 2013
Happens to me too and after this long in Health Care, I'm not nervous or frightened.
Bleuidcowgirl
29 Nov 2013
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I will use your suggestion. What blood pressurs apparatus do you use to confirm the accuracy of your findings?
A good brand wrist bp cuff is just fine. Check at your pharmacy.
I think the regular arm cuffs are much more accurate than the wrist cuffs Kaismama. In my experience as a Home Health nurse and Case Manager, I have tested many different kinds of automatic cuffs against a calibrated manual cuff. The finger ones are worthless, the wrist cuffs tend to not be very accurate-they tend to be subject to movement variations too much and tend to either read too high or too low. The best kind are the automatic arm cuffs and be sure to get a cuff that fits well. If you have a large arm, get a large cuff and same for a small arm. There should be guides telling you if the cuff is fitting properly. You can ask the pharmacist to help you if you have trouble. Large cuffs sometimes have to be ordered at some places. You dont have to get the most expensive one but dont get the cheapest either.
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Get one that is moderately priced as the cheap ones are usually a little less accurate but the most expensive are often no more accurate than a mid priced auto cuff, they just have more bells and whistles that you may not need. Make sure that you can easily put the cuff on all by yourself at the proper placing. Your pulse that you feel in your inner elbow area should be just below the sensor in the cuff. Be sure that you take your pressure sitting down on a chair with your arm propped on a table at about heart level. The kitchen table is usually about the right height or a desk may work well too. Relax and do not talk or move while it is reading. Record your pulse and B/P readings. Do this several times a day and take note as to what you were doing prior to reading-was it at rest? was it after housework and running around?, first thing in AM?, etc. Try to take several readings at different times a day. Now you are going to get all kinds of different readings, as your blood pressure fluctuates throughout the day, so dont be concerned, this is normal. Take your record into your Dr. and let him review it. That way he gets a true picture of what your pressure is really doing. That way you wont get your meds increased due to "white coat syndrome" but if you truly do have elevated readings, your record will reflect that.
Hi. Wrist cuffs work for those who need them. Just went through the same discussion with my home nurse and a nurse at the clinic. My muscle disease is extremely painful upper arm. Not so bad lower arm. Last time a machine did it I screamed. Only shingles has ever hurt that much. Anyhow, when the clinic nurse was told that, she said she would take it in the upper arm anyway. Obviously she doesn't get it that a person in pain will have high blood pressure and pulse rate. Or that they will say no and kick her out of the room.
At the doctor they use a child cuff on the lower arm and feel it is fine. The key to this is to be consistent. Always take it the same way. Always. So we do it the same at both and the readings remain consistent within themselves. Then we watch trends. Meaning that if the reading is not the same, we are watching for changes. Simply can't take readings from upper arm.
Here's the thing, when you're alone, taking your bp with a reg old bp cuff is down right difficult. Also, my cardiologist said they're just as good and we checked mine with her cuff.