QUESTION: How can we deal with the use of IVC in hypertensive patients when the HDIVC tends to raise BP?
ANSWER: Do watch pre and post BP and vitals always. Normally with HDIVC you see a transient rise in BP post HDIVC. Often this lasts 30 min to 3 hours and goes away.
If the BP does not decrease over the following hours we apply the following.
In hypertensive patients we find three pathways that are in play:
1. Use of our human research based formulas with the electrolyte balanced mineral additives lowers cardiac reactivity and BP. If they are dehydrated we also give 250 – 500 mL 0.45NS before the IV which helps (see link below)
2. Use of the above formulas – BUT – we have to put the formula in twice the sterile water to drop the osmolality and slow the infusion rate.
3. A small group (10% or so) just cannot handle the osmolarity and sodium load so we do lower IVC doses.
*In many cases if the patient is on a diuretic or anti-hypertensive and the above are not enough to help we alter the medication dose.
ASCORBATE FORMULAS AND ELECTROLYTE RESEARCH
https://www.academia.edu/13255726/IV_Ascorbate_and_Electrolytes https://www.academia.edu/10024397/Ascorbate_and_Oncologic_Therapies_-_Research_Review