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    Cs-Cardiac-023-Essential Cardiac Labs

    Uploaded by

    Coleen Yraola
    Nursing reviewer

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Cs-Cardiac-023-Essential Cardiac Labs

    Uploaded by

    Coleen Yraola
    72 views2 pages
    Nursing reviewer

    Original Title

    cs-cardiac-023-essential_cardiac_labs_

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    Nursing reviewer

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    72 views2 pages

    Cs-Cardiac-023-Essential Cardiac Labs

    Uploaded by

    Coleen Yraola
    Nursing reviewer

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    ESSENTIAL CARDIAC LABS

    CARDIAC ENZYMES:

    Enzyme Sensitivity Time to Peak

    Most sensitive to
    Troponin 12 hours
    cardiac damage

    Sensitive when
    CK-MB skeletal damage 10-24 hours
    isn't present

    Low specificity to
    Myoglobin (Mb) 2 hours
    infarction

    OTHER CARDIAC LABS:

    Lab Value Levels Nursing Implications

    Hypokalemia (<3.5)
    Potassium (K) 3.5 - 5.0 mEq/L
    Ventricular dysrhythmias
    Digoxin toxicity
    U wave
    ST depression

    Hyperkalemia (>5.0)
    Peaked T waves
    Wide QRS
    Ventricular dysrhythmias

    1.5- 2.5 mg/dL Hypermagnesemia


    Magnesium (Mg)
    Prolonged PR, QRS, QT, brady, blocks
    Cardiopulmonary arrest
    Hypotension

    Hypomagnesemia
    Tachycardia
    Prolonged QT
    Torsades de Pointes

    NRSNG.com - “Tools and Confidence to Succeed in Nursing School.”


    ©2018 NRSNG, LLC - Reproduction Strictly Prohibited Disclaimer
    information at NRSNG.com
    ESSENTIAL CARDIAC LABS

    Lab Value Levels Nursing Implications

    Indicates Volume Overload


    B-Natriuretic Normal <100 pg/mL
    Peptide (BNP) 100-300 pg/mL Heart Failure present
    300-600 pg/mL moderate Heart Failure
    600-900 pg/mL severe Heart Failure

    Hematocrit
    Hemoglobin / Hgb 12-17 mg/dL
    Hematocrit Hct M 38-50%, F 35-45% Dehydration
    (Hgb/Hct)
    Hgb/Hct
    Anemia
    Identify source / treat cause

    Elevated lipid levels can contribute to


    Lipid Panel Total cholesterol development of atherosclerotic plaques
    <200 mg/dL in coronary arteries.

    LDL <130 mg/dL Clients should be taking a Statin


    HDL 30-70 mg/dL
    drug if levels are elevated.

    NRSNG.com - “Tools and Confidence to Succeed in Nursing School.”


    ©2018 NRSNG, LLC - Reproduction Strictly Prohibited Disclaimer
    information at NRSNG.com

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