As we hope you know by now, dehydration can be a factor
in getting a bends hit. That’s why one should drink plenty
of water when diving. And why drinking alcohol in excess
then diving on a hangover is an unwise practice. It’s also why
any diver who takes a diuretic needs to be sure he’s drinking
enough fluid to counteract the possible dehydration.
Diuretics, either alone (e.g., Lasix, Hydrodiuril) or in combination
with another agent, are most commonly, and often
among the first, drugs prescribed for the control of high blood
pressure. Occasionally, they are prescribed to control vertigo.
Diuretics of all types tend to reduce plasma volume and
increase blood viscosity, and the potential implication of this
for DCS is obvious. Keep in mind, dehydration as a result
of diuretics doesn’t occur overnight; it can take a period of
some weeks.
Interestingly, in a study of medications divers receiving
hyperbaric facility care had taken (“Drugs Downed Divers
Did,” presented at the Undersea and Hyperbaric Medical
Society’s annual scientific meeting in June 2007), antihypertensives
were the second most frequently reported.
- - Doc Vikingo