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Thread: Best way to raise blood pressure back up?

  1. #1
    Senior Member Mona~on~wheels's Avatar
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    Question Best way to raise blood pressure back up?

    On another thread we discuseed blood pressure dropping after eating a meal.
    It was agreed this does happen to alot of people with sci.
    So my quesation is how can we get our blood pressure back up as fast as possible.
    I lay in bed all night and half the morning with bp, rom, bath.
    I finally get up & eat my cereal around 9:30-10 am.
    By 10:30 am I'm laying back in my wheelchair.
    Every time I get back up I start gasping for air,
    and I have to lay back down.
    This usually lasts 1-2 hrs!!! I get sick of it.
    Finally I'm up at noon to have a life.
    Is there any better way besides up & down till I can handle sitting up & breathing okay?

    Thanks Mona

  2. #2
    Senior Member cali's Avatar
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    i took midodrine and that took about a half an hour to kick in. i used to pass out all the time.

    now i don't need to take it but caffeine does the trick for me.
    Never take life seriously, nobody gets out alive anyway

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  3. #3
    Senior Member Ashley's Avatar
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    until you can work up your tolerance, wearing an abdominal binder, TED hose, and drinking a good amount of water as you're getting up should help. I take midodrine as well just a small amount though.
    Courage, it would seem, is nothing less than the power to overcome danger, misfortune, fear, injustice, while continuing to affirm inwardly that life with all its sorrows is good; that everything is meaningful even if in a sense beyond our understanding; and that there is always tomorrow.
    -Dorothy Thompson

  4. #4
    I take generic proAmitine (midodrine) as well but only if absolutely needed.
    It helps within a few minutes. My gf suggested it to me as she takes it.
    Ask your doc about it.
    "The sweet is not as sweet without the bitter"
    ~"Vanilla Sky"~

  5. #5
    I agree with the above:
    • Drink at least 10-12 oz. of water at least 30 minutes before getting out of bed. Dehydration in the AM is common in SCI and can often cause the orthostatic hypotension to be much worse.
    • Use an abdominal binder, low (not over your ribs) and apply it prior to getting out of bed. Will also help prevent "quad belly".
    • Wear compression hose, either knee high (if possible) or thigh high if really needed. If hypotension is really severe you can apply ace bandages in a figure of 8 wrap on top of the compression hose.
    • Sit up gradually in bed and stay in a sitting position for 10 minutes prior to transferring to your chair.
    • Use your chair tilt-in-space feature if you start to get really dizzy. You can also have someone raise your legs and press very firmly and steadily on your mid abdomen with their hands.
    • Medications should be the last resort, but some need them, esp. those with really high injuries or those who are older. Midodrine is the main drug used now days since it has gotten nearly impossible to obtain ephedrine or pseudephedrine which was commonly used in the past.
    (KLD)

  6. #6
    Senior Member watchthisbaby's Avatar
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    I'm the same as the rest of the sisterhood. I drink a large amount of water, compression hose, ab binder (yep, to keep the belly at bay also), and midodrine (low dose only in am).
    "We're one but we're not the same. We get to carry each other" U2

  7. #7
    Senior Member
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    Quote Originally Posted by SCI-Nurse
    • Medications should be the last resort, but some need them, esp. those with really high injuries or those who are older. Midodrine is the main drug used now days since it has gotten nearly impossible to obtain ephedrine or pseudephedrine which was commonly used in the past.
    (KLD)
    pseudephedrine as in Sudafed?
    T7-8 since Feb 2005

  8. #8
    Yes. You have to be careful with these drugs though. They can also trigger AD.

    (KLD)

  9. #9
    Senior Member Mona~on~wheels's Avatar
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    Thanks everyone~
    Cool, I'll talk to my Dr. Monday about Midodrine.
    I wear knee high ted hose everyday.
    How do you wear an adominable binder with a supra pubic stoma?
    My stoma is riight above my pubic hair.
    Every time I put the binder on it slides down on top of the stoma.
    I would love to wear it.

    KLD thanks for the list.
    The 1st thing I try is raising my legs.
    My wc has leg lifts.
    They taught me that in Rehab.
    If that doesn't work I tilt back.

    I'll drink water in the morning and let y'all know if it helped me.



    Mona

  10. #10
    We have our OTs cut a hole in the abdominal binder and zig-zag stitch the edges. Put it on, pull the catheter to the outside and reattach to the bag. It works fine.

    (KLD)

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