Question: My dad’s creatinine level is 4.0 and has just started dialysis. However, he had a sudden drop of blood pressure during dialysis. Should he stop high blood pressure medications before dialysis?
Answer: Low blood pressure is one common complication of dialysis. Nearly 25%-40% of dialysis patients will suffer from at least one time of low blood pressure. Several conditions can cause this problem:
- Too much weight gain between dialysis session
- Too much fluid is filtered out during one dialysis treatment
- The use of high blood pressure medications before dialysis
- Diabetic autonomic neuropathy
- Cardiac dysfunction
- Allergic to dialyzer
All of the above conditions can lead to the sudden drop of blood pressure during dialysis. Low blood pressure may urge patients to stop dialysis for safety. From this point, to manage low blood pressure timely is very necessary. Since low blood pressure during dialysis may be caused by various conditions, you should firstly find out what causes your dad’s problem. If his low blood pressure is due to anti-hypertensive agents, you had better tell the doctor or the online doctor so that they can help control his blood pressure correctly.