Perfusion II Flashcards
When does CK-MG elevate and what is the duration?
Peaks: 4-6hr after injury
Duration:3 days
What do cardiac enzymes and lipid profiles indicate?
Angina
MI
Heart disease
Hyperlipemia
When does troponin T elevate and what is its duration?
Peak:3-5hr
Duration: 14-21 days
When does troponin I elevate and what’s it duration?
Peak: 3hr
Duration: 7-10 days
When does myoglobin elevate and what’s its duration?
Peak:2hr
Duration: 24 hr.
What is the range for cholesterol?
Less than 200mg/dL
Screens for heart disease
What is the range for HDL?
Females (35-80mg/dL)
Males ( 35-65mg/dL)
It is the good cholesterol produced by the liver
What is the normal level for LDL?
Less than 130mg/dL
Bad cholesterol can be up to 70% of total cholesterol
What is the normal value for triglycerides?
Males (40-60mg/dL)
Females (35-135mg/dL)
Over 65 (55-220mg/dL)
Evaluates for atherosclerosis
What does an echocardiogram evaluate for?
Cardiomyopathy
HF
Angina
MI
What does stress testing indicate?
Angina
HF
MI
Dysthymia
What does hemodynamics monitoring monitor?
Blood volume
Perfusion
Fluid status
And how we’ll the heart is pumping
If hemodynamics are elevated in the preload what will the manifestations be?
Crackles in the lungs JVD Hepatomegaly Perioheral edema Taut skin turgor
What will the manifestations be if the hemodynamics are decreased in preload?
Poor skin turgor
Dry mucous membranes
What will the manifestations be if hemodynamics are increased during after load?
Cool extremities
Weak peripheral pulses
What will the manifestations be if the hemodynamics are decreased during after load?
Warm extremities
Bounding peripheral pulses
What does an angiography measure?
The presence and degree or coronary artery blockage
What MUST you assess for before angiography?
Iodine or shellfish allergy!!
What is a complication of angiography?
Cardiac tamponade
What does an ECG monitor?
Cardiac electrical activity
What are per cutaneous coronary interventions?
Non surgical procedure performed to open coronary arteries
What are two types of PCIs?
Atherectomy: breaks up and removes plaque
Stent: placement of mesh wire device to hold an artery open.
What is normal ejection fraction?
50-70%
