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What could raise my pulse and blood pressure?

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  • What could raise my pulse and blood pressure?

    I aggravated my cervical cord and got dehydrated and developed a stage IV pressure ulcer on my coccyx from a stupid stint of stationary almost 3 months ago. My blood pressure and my pulse both got very high. I remember that my resting pulse would range from around 100 to 130 I think, and my bottom pressure number would range maybe between 90 and 110, still around six weeks ago. They put Nitroglycerin (I think) on my chest once. My doctor suggested it could be from my wound. I wonder if the clinetron bed could be playing a role. Any thoughts?

  • #2
    Autonomic dysreflexia can be caused by pressure ulcers, and also from changing pressure ulcer dressings (esp. the VAC). How is your wound being treated? I have never seen an air fluidized bed (Clinitron is one type of these) cause AD, although I have seen it caught high body temperatures because the air must be heated for it to work right.

    Usually AD results in a lower pulse, not a higher one, and the systolic blood pressure is what we watch for in AD. That needs to be 40 mm. Hg or more above your normal baseline for it to be true autonomic dysreflexia.

    Dehydration usually makes your pulse go up, and your blood pressure go down.

    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.


    • #3
      AD is pretty nasty, no? I don’t think I have had that. Other than a couple of headaches I’ve been feeling fine. I don’t know how they treated my wound at Kessler, because the wound team showed up at 3 AM, and always numbed me before they did their thing. Here In subacute the nurses put something on it and rebandage, before twice a day and now once. The wound specialist comes here once a week, cheerfully tells me I am doing great, filling and shrinking nicely, and goes on her merry way. She is always careful to calm around to the front of me and speak to me face to face, which I really appreciate.
      – – – – – –
      Or can you have AD in a low-level, long-term kind of way? My numbers finally have normalized some, but could that have been what was going on? Also, my wound now is treated only with silver alginate.