Lifestyle Issues in Cardiac Health
Blood Results
Mr. Fowler's vital signs are stable in the emergency department. He is taken to the catherization lab where percutaneous coronary angiography is performed. Exhibit 2 shows a right anterior oblique projection of a left coronary angiogram. During the angiographic procedure, the following blood results are reported:
Sodium: 141 mEg/L
Potassium: 4.2 mEg/L
Chloride: 101 mEg/L
Bicarbonate: 28 mEg/L
BUN: 15 mg/dl
Creatinine: 1.0 mg/dl
Glucose: 182 mg/dl
CK: 114 U/L
CK-MB: 2.3 ng/ml
Troponin: I 0.0 ng/ml
Hematocrit: 46%
Hemoglobin: 15.8 g/DL
WBC: 12,300/mm3 with 76% neutrophils,
20 % lymphocytes, 4% monocytes
Platelets: 365,000/mm3
Questions
- Interpret the blood results.
- Interpret the angiogram. What abnormalities are present?
- What are the management options?