Dialysis Blood Pressure 1/25/2020 (updated)

The medications continue to work. I took all three at around 8:15 am this morning before dialysis. Here are the first several readings:

Time	Systolic	Diastolic	Pulse	Notes
9:02 am	117	74	64	Standing
9:13 am	135	75	63	Sitting/legs up
9:43 am	141	79	60	Sitting/legs up
10:13 am	151	83	60	Sitting/legs up
10:43 am	145	86	60	Sitting/legs down

I only have two data points since I started taking all three medications before dialysis, but if you look at the numbers from last session, my blood pressure increased at the 10:18 am reading. Likewise, there seems to be an increase today at 10:13 am. One or more medication is getting dialyzed out about an hour into dialysis. My guess is the Metoprolol. There was a study done on Olmesartan and it appears resistant to dialysis.

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Blood pressure increased to 168/96 at 11:43 am. Either something else is getting dialyzed out or the 10 mg of NIFEdipine is wearing off since it’s such a low dose.

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Remaining readings continued from table above:

Time	Systolic	Diastolic	Pulse	Notes
11:13 am	148	90	60	Sitting/legs down
11:43 am	168	96	62	Sitting/legs down
12:13 pm	156	88	60	Lying down
12:43 pm	157	89	62	Lying down
12:50 pm	159	92	62	Sitting/legs down
12:52 pm	127	74	65	Standing

I’m surprised that both number dropped so much on the final standing measurement. The initial increase at the beginning of dialysis when I sat down wasn’t that large. That means I still have orthostatic hypotension.