"please keep me updated about oximeters "
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Pre and Post Blood pressures
I am wondering how many labs take blood pressure before and after studies....especially CPAP titrations. It has been the standard in all labs I have worked for over the many years, and has been a benefit to the patients on more than one occasion. I have recently come to find out this is not being done in a lot of labs around the country. Are you taking BPs in your labs, and if not why? And i think it would be nice to lobby the AASM to make this standard practice......What do you think?
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Replies to This Discussion
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Permalink Reply by Judy on
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jnk, my husband's doctor insists that BP is highest in the morning on waking and that is when he wants him to take his BP. I see my cardiologist (every two years, yippee, this year is the year) next week and I shall try to remember to ask him. Hubby does take medication for high BP, I do NOT have high BP.
By the way, cross your fingers for me. The cardiologist gave me my choice of a treadmill stress test using my 02 or a chemical stress test. I opted for the treadmill stress test.
The one time they did a chemical stress test I got sicker than a dog 'cause they have you come in on an empty stomach, NPO after midnight, then insist that you down x amount of fat via cheese crackers & peanut butter or donuts or whatever and drink lots of COLD water. On an empty stomach???? Not on MY empty stomach! I upchucked most of it before and after they got me on the table for the chemical stress test!!!! To say nothng of the fact that I was so freaking cold they had to pile 3 warmed blankets on me before I warmed up enough to even be somewhere near comfortable.
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Yep, Cindy, that's what my hubby's doctor told him: buy a blood pressure unit and check your BP every morning. This was back when 140 over 90 was acceptable. Now, of course, they want to see you at 120 over 80 or less.
He did very well on one BP med a day, the second med they tried. UNTIL they changed their "ideal" to 120/80. 140/90 his BP med did very well for him, but NOT 120/80 so his doctor changed his BP med and then the "fun" started. The BP med controlled his BP but caused gout. So his doctor added a med to prevent gout. Then there was some other problem I don't even remember and they started him on a third med. He gripes every morning as he digs out those three pills! Ha! "I" should be so lucky!!! My one Crohn's med is SIXTEEN capsules a day!!! Or eight of a larger size that I just can not swallow.
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Ahhh, thank you, jnk! As usual you are so full of good information or good links to good info!!! And now I don't have to try to remember to ask my cardiologist. Youse is a keeper, jnk!!!
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Permalink Reply by Lee Longnecker on
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I just have to add this, Even if there is no to little change in the BP in the AM, what if there were some sort of episode during the night, stoke, respiratory distress, MI....When I transfer him to hospital or ambulance, I want to have a least the basic vital signs to give thhe MDs......What was the patients status upon arival to the sleep lab...Hight weight and BP are a great place to start...better than saying I dont know what his status was when he came into our medical facility for treatment. I just stuck him on CPAP...I think its better to have basic stats on the patients arrival, then if something does happen I can at least say pulse and BP were this upon arrival, and now it is "X" Thats even better info than nothing..I have NEVER been to a medical office where my height and weight an BP and pulse were not recorded. except maybe routine lab draws
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Permalink Reply by Rock Conner RRT on
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Lee, we don't do pre & post BPs, but there is talk of taking up the practice & I'm all for it.
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