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    If you are on bedrest (prone) for a pressure sore are you more likely to have a stroke? And can a faint look like a stroke? I think my husband had a TIA and he thinks he should get up more in order to prevent having one...just in case.
    Last edited by marie2; 6 Aug 2011, 11:03 PM. Reason: more detail
    "We only become what we are by the radical and deep-seated refusal of that which others have made of us."~~Sartre

    #2
    He knows he had a Tia so he is going to get up more and go to the dr on Monday.
    "We only become what we are by the radical and deep-seated refusal of that which others have made of us."~~Sartre

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      #3
      I'm relieved that h e is Marie. It is known that anyone who sits or lays down for long periods of time have a chance for an embolism
      or stroke to happen due to the sudden change in blood pressure or blood clot.
      Please keep us informed if you would. Stay strong girl.

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        #4
        I don't know anything about TIA other than it would be difficult to self-ascertain if one has had it or not with paralysis.

        Knowing that it could lead to a stroke at any time, I think I would get it checked out ASAP as in your closest hospital emerge, no?
        Roses are red. Tacos are enjoyable. Don't blame immigrants, because you're unemployable.

        T-11 Flaccid Paraplegic due to TM July 1985 @ age 12

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          #5
          It was clear to those of us who saw his face/response etc. EMTs checked him out and things looked ok by then but he decided to save his brain instead of his behind. We are calling his NP at the VA SCI tomorrow. The attack lasted about 3 mins. I guess like a lot of people I come on here and ask questions because the experience pool is so huge and specific. Thank you for your response.
          "We only become what we are by the radical and deep-seated refusal of that which others have made of us."~~Sartre

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            #6
            A TIA can occur from high BP and low PR, or low BP and high PR and mine are about as suttle as a frieght train taking a dirt road. Hands and feet will swell up and turn blue, pain down arm and legs and head ache. Changing position can cause a TIA. Orthostatic hypotension or Supine hypertension from lack of activity. Do you take BP and PR regularly?

            Joe

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              #7
              Hello,

              Here are the risk factors for stroke
              http://www.mayoclinic.com/health/str...N=risk-factors

              Immobility (lack of movement or prolonged bedrest) is a risk factor. I am glad you are checking with your medical provider.
              Keep us posted.
              AAD
              The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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                #8
                I think they are going with a dx of orthostatic hypotension. His bp has always been so stable and the same that we have never taken it at home. He has been in the VA SCI since monday and had some tests. But now...he is flushed red all the time, his bp is 165/117 ish (varies) lying down and higher than his normal 90/70ish sitting. He is really concerned about the lying down bp so he is sitting up every 15 min and doing his arm exercizes. He has a pressure sore on his ischium which is why he has been in bed. They told him to stay in bed as much as he could to heal it but didn't say anything about orthohypo bp. Probably because his bp was always the same sitting up or down. He has never fainted in the 35 years we've been married. He refused to go to the ER and has been lectured by me, his bro the EMT, and his PA! I have never felt I should roll over him and make him do something *when he is clearly in possession of his faculties*. That is a whole other discussion and guess a problem when the spouse is the attendent...2 conflicting roles IMHO.
                "We only become what we are by the radical and deep-seated refusal of that which others have made of us."~~Sartre

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                  #9
                  oh... no swelling of his limbs etc.
                  "We only become what we are by the radical and deep-seated refusal of that which others have made of us."~~Sartre

                  Comment


                    #10
                    Marie2,

                    I forgot to add that my face turns white as a ghost (pallor) when this happpens to me. Is that what you saw? I can lay on my side longest, then stomach, then on my back I have the shortest time before Supine Hypertension.

                    Joe

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                      #11
                      I think no but I was taken aback and focused on getting a response so I couldn't say. Eyes rolled up to right, droop on right, clenched teeth, vision black , no nausea, no headache, right arm shaking. skin didn't stand out to me. He's home from hospital, very tired, feels worse than when he went in. Drs aren't concerned, I guess. He mentioned that the nurse said he was having silent AD...he's been so very healthy it has really shaken us up and is probably insignificant...
                      "We only become what we are by the radical and deep-seated refusal of that which others have made of us."~~Sartre

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                        #12
                        The only thing that seems to apply (to us), in the disgharge papers is supine hypertension....210/140 very low pulse so I'm going to do a search on the care site and see what applies. He hates the hospital now even more than before; it's so much easier at home because he knows how to take care of himself and the hospital has rule...such as he was sweating really bad 15 after being turned but they wouldn't turn him because they have a policy of only turning once an hour?! Can this be true? But yes I will go ahead and take him if it happens again.
                        "We only become what we are by the radical and deep-seated refusal of that which others have made of us."~~Sartre

                        Comment


                          #13
                          Originally posted by marie2 View Post
                          I think they are going with a dx of orthostatic hypotension. His bp has always been so stable and the same that we have never taken it at home. He has been in the VA SCI since monday and had some tests. But now...he is flushed red all the time, his bp is 165/117 ish (varies) lying down and higher than his normal 90/70ish sitting. He is really concerned about the lying down bp so he is sitting up every 15 min and doing his arm exercizes. He has a pressure sore on his ischium which is why he has been in bed. They told him to stay in bed as much as he could to heal it but didn't say anything about orthohypo bp. Probably because his bp was always the same sitting up or down. He has never fainted in the 35 years we've been married. He refused to go to the ER and has been lectured by me, his bro the EMT, and his PA! I have never felt I should roll over him and make him do something *when he is clearly in possession of his faculties*. That is a whole other discussion and guess a problem when the spouse is the attendent...2 conflicting roles IMHO.
                          What did the doctors who diagnosed orthostatic hypotension suggest as treatment? Did they give him medication? If they suggested either Fludrocort and/or Midodrine, you must be very careful about when it is administered. These medications should not be taken in anticipation of lying down or staying in bed.
                          I think I would be more concerned about the lying down blood pressure that is 165/117 than the fact that his blood pressure drops to your husband's normal range when he sits up. That in itself is pretty normal for anyone and especially so for many with spinal cord injury. Sitting or lying down that blood pressure is worrisome. While your husband is on bed rest to heal the pressure sore, try to figure out a way that he can raise his head a little while staying off the sore (propping with pillows), make sure he stays well hydrated and consider some compression stockings or talk to your doctor about an anti-embolism leg device known as Intermittent Pneumatic Compression Device (IPCD). A pump provides intermittent cycles of compressed air which alternately inflate the single-chambered air garments. The compression applied on the extremity augments venous blood flow velocity.

                          Hope you find some solutions. Take care of both of yourselves.

                          All the best,
                          "GJ"

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                            #14
                            No meds and that was meant to read *after 15 mins* they wouldn't turn him.
                            "We only become what we are by the radical and deep-seated refusal of that which others have made of us."~~Sartre

                            Comment


                              #15
                              Were the doctors that treated your husband at the hospital cardiologists? Do you have access to a cardiology practice? I think your husband needs to be seen and followed by a cardiologist instead of waiting for the next incident to happen.

                              All the best,
                              "GJ"

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