Cardiovascular Lab Tests Flashcards

1
Q

Enzymes with Suspected MI

A
  • creatine phosphokinase
  • lactate dehydrogenase
  • aspartate aminotransferase
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2
Q

Isoenzymes

A
  • subtypes of broken down enxymes

- ex. CK-MB, LDH1

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3
Q

5 LDH Isoenzymes

A

-LDH1-LDH5

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4
Q

Cardiac Markers

A
  • enzymes

- Mm proteins

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5
Q

Enzymes

A
  • some are organ specific & get released with organ is damaged
  • blood serum analyzed to detect presence of increased enzyme levels

-determine amount & time of damage

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6
Q

Muscle Proteins

A
  • Troponin

- Myoglobin

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7
Q

3 CK Isoenzymes

A
  • CK-MB (heart)
  • CK-MM (muscle)
  • CK-BB (brain)
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8
Q

Hb Normal Values

A
  • male: 14-18 g/dL

- female: 13-16 g/dL

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9
Q

Ballpark CK Value Interpretation

A
5-75 Normal
200-400 Small MI
400-800 Med MI
>800 Large MI
>2000 very large MI
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10
Q

Myoglobin

A
  • O2 binding heme protein
  • found in cytosol of striated Mm
  • Upper limit of reference interval: 70 microgram/L
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11
Q

CK-MB Mass

A
  • measures protein concentration of CK-MB

- Elevates sooner than CK or CK-MB

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12
Q

Blood Analysis

A
  • Hb
  • Hct
  • Leukocytes
  • Platelets
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13
Q

Hct

A

-% of volume of blood that consists of RBC

the rest is plasma

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14
Q

Clotting Measurements

A
  • PT
  • PTT
  • INR
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15
Q

INR

A
  • method to standardize between labs
  • normal: 0.9-1.1
  • therapeutic: 1.5-2.5

-Increased #=slower to clot

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16
Q

Significance of increased Hb

A

-increased blood viscosity

17
Q

<5,000 platelets

A

bed rest

18
Q

5,000-20,000 platelets

A
  • AROM
  • walk in room
  • light activities/ADLs
19
Q

20,000-50,000 platelets

A
  • light resistance
  • walking as tolerated
  • bike
20
Q

50,000-150,000 platelets

A
  • moderate resistance training
  • walking as tolerated
  • stationary bike
21
Q

150,000-450,000 platelets

A

-normal activity

22
Q

Significance of decreased Hb levels

A
  • 8-10g/dL=fatigue & tachycardia

- s contraindicated

23
Q

Platelet Normal Value

A

-150,000-450,000 cells/microliter

24
Q

Hct Normal Values

A
  • male: 42-52%

- female: 37-48%

25
Q

Normal Leukocyte Levels

A

43,000-10,800 cells/microliter

26
Q

Increased Hb levels due to:

A
  • polycythemia

- dehydration

27
Q

Decreased Hb levels due to:

A
  • anemia
  • iron insufficiency
  • fluid overload (dilution)
28
Q

AST

A
  • (SGOT)
  • increase 12 hours after MI
  • peak at 24 hours
  • return to normal in 4 days
29
Q

CK-MB

A
  • isoenzyme of heart
  • 4-8 hours after MI
  • peak: 12-24 hours
  • return to normal 2-3 days
30
Q

CK

A
  • rises 1st, rapidly after MI
  • rises: 3-4 hours
  • peak: 33 hours
  • return: 3 days
31
Q

Troponin

A
  • normal values are low
  • rise: 4-6 hours
  • peak: 10-24 hours
  • return: 1 week
32
Q

LDH1

A
  • prominent in heart
  • rise: 8-24 hours
  • peak: 72-144 hours
  • return: 14 days
33
Q

LDH

A
  • rise: 12-24 hours
  • peak: 72 hours
  • return: 5-14 days
34
Q

PTT

A
  • assess intrinsic coagulation pathway
  • HEPARIN therapy monitored with PTT
  • normal: 30-40 sec

-(on heparin=1.5-2.5x normal)

35
Q

PT

A
  • measures extrinsic coaculation pathway
  • Warfarin (Coumadin) monitored with PT
  • Normal range: 11-12.5 sec

-(on Wararin=1.5-2.5x normal)

36
Q

Decreased Leukocyte Levels

A
  • due to: viral infections, immunocompromised status
  • result in pt being isolated
  • ex’s not contraindicated, but follow guidelines
37
Q

decreased platelet levels

A
  • due to: leukemia, lymphomas, aplastic anemia, etc

- results in spontaneous bleeding

38
Q

increased platelets

A
  • due to: leukemia, cancer, primary thrombocytosis, post splenectomy
  • ex’s not contraindicated unless blood flow to organs compromised
39
Q

Increased Leukocyte levels

A

-due to: bacterial/parasitic infections allergic reactions, leukemia