How do you control blood pressure of person with Chronic Kidney Disease without further long term damage?

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M

metal1 Asked February 2013

How do you control blood pressure of person with Chronic Kidney Disease without further long term damage?

Hi everyone,
My mother (who is 70) is suffering form Chronic Kidney Disease. She is on meds. She is also diabetic and hypertensive. We inject her insulin and diabetes is under control. Her diastolic blood pressure stays fixed between 60 and 70 but her systolic blood pressure stayed around 160. It sometimes climbed to 180. The doctor told us to increase the Blood pressure medicine. Now the upper blood pressure remains between 140 and 160. (It's either 140 or 160). The nephrologist says it's fine. Since last two days, we have included garlic in her food. Are we on the right path? What else should we do to bring the blood pressure down to 130 to avoid any further long-term damages?
best regards
Leo

Senior Health

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score 0 · Answer 1

You can look into an alpha and/or beta blocker and maybe an ace-inhibitor.

Cindy

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score 0 · Answer 2

Thanks everyone for your valuable input. I am sorry for the late reply as I was busy taking care of my mother. The neph adjusted the medicines and the BP stays around 120/60-70 most of the time. It occasionally rises to 140 but neph says its perfect. An ECG and echo was also advised and have turned out fine. Another thing that I have noticed is that her BP is higher when the weather suddenly becomes colder outside. The only worrisome thing is the creatinine which stays around 2 but neph says not to worry.
regards
Leo

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score 0 · Answer 3

Limit sodium to no more than 2000 mg per day...sounds like alot until you add it up. I would highly suggest you contact aakp (American association of kidney patients) they have some very good educational material. Do you know the ckd stage ? That will also guide you, depending the decline of the kidneys themselves that could be causing the bp problem.
I bid you strength on your journey

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score 0 · Answer 4

get a new BP cuff.What did the neph say about a renal diet and fluid limits? I lived with a dialysis patient for 15 years.He followed the diet .

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score 0 · Answer 5

don't use salt substitutes without asking the neph. first

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score 0 · Answer 6

I would suggest just listen to her doctors. If the nephrologist says it's ok, then it's ok. Are you watching her sodium intake ? Read labels.
There are reduced sodium soups, bacon, deli meats, frozen or fresh vegetables have no sodium, and there are canned sodium free vegetables. It takes some getting use to but worth it.

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How do you control blood pressure of person with Chronic Kidney Disease without further long term damage?

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