Myocardial
Infarction
Shirley Sampson
,Patient Name: Shirley Sampson
Medical Diagnosis: Myocardial Infarction
Code Status: Full Code
Age: 56
Shirley Sampson presented to the ED on 9/11/2024 with
complaints of chest pain and SOB. She states she was
planting flowers in her garden when she began feeling the
pain. She rates the pain a 7/10, BP 160/98, RR 12, O2 sat
93%, and temperature 97.5 F.
Patient has a history of smoking, hypertension and high
cholesterol. Patient came in with her daughter who is at
the bedside with her.
, Laboratory and Imaging Tests
Patient labs Rationale
CBC A complete blood count is drawn when a MI is suspected to
help diagnose anemia. With the patients rbc, hematocrit, and
hemoglobin all presenting low anemia would be expected.
(Zafari, 2019).
WBC 16.3 /L High, 3.3-10.7 Normal range
RBC 3.34 tril/L Low ,3.8-5 Normal range
Hemoglobin 10.5g/dL Low ,12.1-15
Hematocrit 31.9% Low 35-44% Normal range
Platelet 168bil/L normal, 150-400 normal range
Lipid Panel A lipid panel is often drawn upon admission for a base level
for comparison. As these values can change with the onset of
the acute illness. (Zafari, 2019).
Cholesterol 198 mg/dL normal, <200 normal range
Triglycerides 266 mg/dL High, <150 normal range
LDL 135 mg/dL High, <129 normal range
HDL 65 mg/dL Normal, >=50 normal range
Infarction
Shirley Sampson
,Patient Name: Shirley Sampson
Medical Diagnosis: Myocardial Infarction
Code Status: Full Code
Age: 56
Shirley Sampson presented to the ED on 9/11/2024 with
complaints of chest pain and SOB. She states she was
planting flowers in her garden when she began feeling the
pain. She rates the pain a 7/10, BP 160/98, RR 12, O2 sat
93%, and temperature 97.5 F.
Patient has a history of smoking, hypertension and high
cholesterol. Patient came in with her daughter who is at
the bedside with her.
, Laboratory and Imaging Tests
Patient labs Rationale
CBC A complete blood count is drawn when a MI is suspected to
help diagnose anemia. With the patients rbc, hematocrit, and
hemoglobin all presenting low anemia would be expected.
(Zafari, 2019).
WBC 16.3 /L High, 3.3-10.7 Normal range
RBC 3.34 tril/L Low ,3.8-5 Normal range
Hemoglobin 10.5g/dL Low ,12.1-15
Hematocrit 31.9% Low 35-44% Normal range
Platelet 168bil/L normal, 150-400 normal range
Lipid Panel A lipid panel is often drawn upon admission for a base level
for comparison. As these values can change with the onset of
the acute illness. (Zafari, 2019).
Cholesterol 198 mg/dL normal, <200 normal range
Triglycerides 266 mg/dL High, <150 normal range
LDL 135 mg/dL High, <129 normal range
HDL 65 mg/dL Normal, >=50 normal range
