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I checked my Dad's blood pressure and it was 213/78 on ...

Sent to Health Experts June 15, 2007 8:16 p.m.

I checked my Dad's blood pressure and it was 213/78 on the right arm. Took it again on the left arm and it was 201/72...what should I do?

Optional Information:
Female, Age: 78, Arkansas

Already Tried:
having him rest but the above bp was taken just after he got up from a nap

Customer (name blocked for privacy)

Status: Closed Value: $9

Info Request
June 15, 2007 8:22 p.m. (6 minutes and 50 seconds later)

Hello,

How old is your Dad?

Does he have any symptoms related to this elevated blood pressure or any other symptoms?

Does he have any medical illness such as hypertension, diabetes, heart disease etc. ?

Is he taking any medications including blood pressure medications?

Please answer the above questions so i can have a better understanding of your Dad's condition.

Edited by V. Yetimyan M.D. on June 15 2007 at 8:23pm

V. Yetimyan M.D. -- Doctor -- 98% Positive Feedback on 2815 Health Accepts
Physician for 20 years with experience in hospital patient care.

Reply
Sent June 15, 2007 8:28 p.m. (5 minutes and 4 seconds later)

78 years old
currently taking 2 meds for high blood pressure, isosorbide and lisinopril
suffers from congestive heart failure, diabetes and emphysema

Customer (name blocked for privacy)

Info Request
June 15, 2007 8:36 p.m. (8 minutes and 19 seconds later)

Hello ,

What are the name of these 2 high blood pressure medications?

Does he have any chest pain ? Does he carry nitroglycerin tablets for the chest pain?

Any shortness of breath?

Is he on any medication for diabetes or just on a diet?

What is his pulse rate and blood sugar ?

V. Yetimyan M.D. -- Doctor -- 98% Positive Feedback on 2815 Health Accepts
Physician for 20 years with experience in hospital patient care.

Reply
Sent June 15, 2007 8:38 p.m. (2 minutes and 26 seconds later)

isosorbide and lisinopril
no chest pain at the present time
always short of breath
on gliburide for the diabetes
don't know on the pulse rate
don't know on the blood sugar

Customer (name blocked for privacy)

Reply
Sent June 15, 2007 8:43 p.m. (4 minutes and 14 seconds later)

pulse rate is 84

blood sugar is 123

Customer (name blocked for privacy)

Answer
June 15, 2007 8:59 p.m. (16 minutes and 55 seconds later)

ACCEPTED

Hello,

Thank you for letting me know his pulse rate and blood sugar. Elevation of the blood pressure increase shortness of breath by the decompansation of the CHF. He may need the dose of the lisinopril increased or he may need to be put on an other high blood pressure medication such as hydrochlorothiazide or lasix. I suggest to you to get in touch with his doctor by phone immediately, if you can not talk to his doctor immediately, take him to an urgent care center to bring his blood pressure under control such as top number 140 or around 140. The bottom number is good since it is under 90.

For more information about hypertension please click the link just below:

http://www.mayoclinic.com/health/high-blood-pressure/DS00100/DSECTION=1

Click the Accept button and leave a Positive Feedback if my reply is helpful to you. A Bonus would be encouraging. If you have more questions please feel free to ask. Take care.

V. Yetimyan M.D. -- Doctor -- 98% Positive Feedback on 2815 Health Accepts
Physician for 20 years with experience in hospital patient care.

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