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9 Cards in this Set
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Serum triglycerides
40-150 mg/100 ml |
evaluate clients with atherosclerosis, indication of body's ability to metabolize fat. Rsik factor in atherosclerotic disease
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Serum cholesterol
varies w/age lvls.>240mg/dl considered elevated {less than 200 desirable} |
high levels associated w/ atherosclerosis and increased risk of CAD
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WBC
{leukocyte count} 5,000-10,000/cu mm |
demonstrates body's response to cellular death & inflammatory response; increased levels seen within 24 hours after MI
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Prothrombin Time
{PT} international normalized ratio (INR) 11-18 seconds normal control 1 1/2 to 2times normal if on coumadin{30-40}secs |
Determines activity of prothrombim, fibrinogen, and factors V, VII, X; evualautes effectiveness of anticoagulant therapy especially Coumadin
on Coumadin therapy: 2.0-3.0 for treatment of MI, DVT |
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ACtivated partial thromboplastin time {APTT}
20-35 seconds normal control maintained 1 1/2 -2 1/2 times normal when on Heparin |
Test of fibrin clot formation; monitors anticoagulant therapy-heparin. {"PTT} partial thrombo-plastin tests for same function
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Cardiac Enzymes:
a)Troponin <.35 Troponin I lvls |
2-6 hours post MI it goes up pk. 2-6 hours after M.I; peaks 15-24 hours.norm 7 days
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CK-MB
creatine Phosphokinase titer {10-135 IU/liter (total cK) CK-MB 0-4% of total CK best indicator |
Isoenyme found mainly in heart. early indicator of MI (tissue death), most specific; levels rise within 4-8 hours a after attack, peak in 18-24 hours
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LDH
Lactic Acid Dehydrogenase LDH1/LDH2 95-200 I.U/liter (total LDH) LDH2>LDH1 In MI: LDH1>LDH2 |
Isoenzyme elevated in MI; increases indicate cellular death; ;eve;s high within 12-24 hours, stay elevated for 6-10 days (late indicator)
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AST (SGOT)
Aspartate Amino-transferase 9-40 I.U/liter liver enzyme |
Enzyme present in many tissues.
In MI lvls elevate 4-10X's; Peaks in 24 hours, returns to normal 3-4 days. Least accurate indicator of MI |
