Looking at these results, does anything jump out at you for things to do – things to look at – things to change or revisit? These are the results from a 79 year old man with 2 stents/pacemaker. I’d appreciate any input you might have. On 8/10/2016: Glucose 115, BUN 37, Creatinine 1.92, GFR 37,sodium 139, Potassium 5.1, Chloride 107, CO2 23, Calcium 8.7 On 7/29/2016; Glucose 127, BUN 25, Creatinine 1.6, GFR 44, Sodium 142, Potassium 5.8, Chloride 101, CO2 27, Calcium 8.5 Blood Test On 9/16/2016: HGB: 11.6, HCT 34.6 RBC 3.81, RDW 15.5 EOS% 13.7 Medications: Each is taken once per day, Allopurinol, Amlodipine 10mg, atenoiol 50 mg , Flomax .4mg, Isosorbide dinitrate 30 mg, Lipitor 80mg, Lisinopril 20mg, metformin 1000mg and gets a shot of Aranesp sometimes weekly, or every other week depends on blood test.

From the information that you present, this fellow has diabetes and chronic kidney disease (CKD).  The potassium is slightly elevated but no seriously so.  I am unable to make any other diagnosis based on the information that you present.  The medications appear to be appropriate and he should continue to follow with his physician to make sure his blood pressure is controlled to less than 130/80 and he should monitor his kidney function with blood and urine testing every 6 months.

 

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