cpk isoenzymes…

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blood test, creatine phosphokinase, isoenzymes, creatine kinase, isoenzymes, ck, isoenzymes, cpk isoenzymes test measures the different forms of creatine phosphokinase blood is drawn, a vein, the elbow, the hand, puncture site is cleaned, antiseptic, an elastic band, around the upper arm to apply pressure, vein to swell, blood, a needle is inserted, vein, blood is collected in an air-tight vial, a syringe, band is removed, restore circulation, once the blood has been collected, needle is removed, puncture site is covered to stop any bleeding, in infants, young children, area is cleansed, antiseptic, punctured, a sharp needle, a lancet, blood collected, pipette, small glass tube, on a slide, onto a test strip, into a small container, a bandage applied, puncture site, any bleeding, test repeated over 2, 3 days, hospitalized patients, a significant rise, fall, in the total cpk, cpk isoenzymes, very helpful to health care providers, the diagnosis of certain conditions, , no special preparation, infants, children, test depends on child's age, level of trust, prepare child, infant test, procedure preparation, birth to 1 year, toddler test, procedure preparation, 1 to 3 years, preschooler test, procedure preparation, 3 to 6 years, schoolage test, procedure preparation, 6 to 12 years, adolescent test, procedure preparation, 12 to 18 years, the needle is inserted to draw blood, feel moderate pain, a prick, stinging sensation, some throbbing, cpk isoenzymes, the total cpk level is elevated, isoenzyme testing, differentiate the source, the damaged tissue, cpk, enzyme found predominantly, in the heart, brain, skeletal muscle, cpk is composed of 3 isoenzymes that differ slightly in structure, cpk-1, cpk-bb, concentrated, in the brain, lungs, cpk-2, cpk-mb, found mostly, in the heart, cpk-3, cpk-mm, found mostly in skeletal muscle, the cpk-1 isoenzyme is predominately found, in the brain, lungs, injury to either of these organs, stroke, lung injury, due to a pulmonary embolism, elevated levels of this isoenzyme, cpk-2 levels rise 3, 6 hours after a heart attack, no further damage, heart muscle, level peaks at 12, returns to normal 12, 48 hours after tissue death, cpk-2 levels, rise, chest pain, angina, pulmonary embolism, blood clot, in the lung, congestive heart failure, cpk-3 isoenzyme, responsible, all cpk enzyme activity in healthy people, particular isoenzyme is elevated, indicates injury, stress to skeletal muscle, higher-than-normal cpk-1 levels, brain cancer, brain injury, due to trauma, stroke, bleeding, in the brain, electroconvulsive therapy, pulmonary infarction, seizure, higher-than-normal cpk-2 levels, heart attack, significant rise in cpk-2 levels, in the first 2, 3 hours after a heart attack, test, diagnose a heart attack, extent, the elevation depends on the severity, the heart attack, cpk levels, remain elevated up to 24 hours after a heart attack, longer, myocarditis, inflammation, the heart muscle, due to a virus, electrical injuries, trauma, heart, instance, a car accident, heart defibrillation, purposeful shocking, the heart by medical personnel, open heart surgery, higher-than-normal cpk-3 levels, crush injuries of skeletal muscle, multiple intramuscular injections, muscular dystrophy, myositis, skeletal muscle inflammation, post-electromyography, a test of nerve, muscle function, recent seizures, recent surgery, rhabdomyolysis, skeletal muscle damage, due to drugs, prolonged immobilization, strenuous exercise, factors, affect test results include cardiac catheterization, intramuscular injections, recent surgery, vigorous, prolonged exercise, immobilization, drugs, increase cpk measurements, amphotericin b, ampicillin, anesthetics, anticoagulants, aspirin, clofibrate, dexamethasone, furosemide, morphine, alcohol, cocaine, isoenzyme testing, specific conditions, 90% accurate.