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P wave
the first wave in an EKG. Represent electrical activity through the atria
QRS Complex
Represent electrical current through the ventricles - aka “ventricle systole”
ST Segment
Represent ventricle contracting but no electrical activity is following through it
T Wave
Represent electricity in ventricles for the next muscle contraction - aka “ventricle diastole”
EKG Gating
Creates images of the heart only when its at rest between beats. Doing this minimizes motion blur.
Kidney function and blood clotting
Types exams used for CT that demonstrates PT ability to use contrast and IV
Types of kidney function tests
Blood urea nitrogen (BUN), Creatine, and Glomerular Filtration Rate (GFR)
BUN - normal value
7 to 25 mg/dL
BUN value above 25 mg/Dl
Means kidney function is struggling to function. Contrast should not be used
BUN value above 50 mg/Dl
Mean kidney function is failing and is going through renal failure. Contrast should not be used.
Creatinine - normal value
0.5 to 1.5 mg/dL
Normal BUN/creatinine ratio
approximately 6:1 to 22:1
Estimated Glomerular filtration rate (eGFR)
An approximation of creatinine clearance or the rate by which creatinine is filtered from the blood stream.
Normal eGFR measurement
greater than 90 to 120 mL/min
Prothrombin time (PT)
measure of blood coagulation
Normal Prothrombin Time
approximately 12 to 15 seconds
international normalized ratio (INR)
Used to compare a patient's PT with a control sample for a more accurate PT result
normal range for INR
0.8 to 1.2
Partial thromboplastin time (PTT)
an additional lab value used to detect abnormalities in blood clotting
Normal Partial thromboplastin time
25 to 35 seconds
Platelet count
Assess the patient's clotting ability
Normal platelet count
140,000 to 440,000 per mm3 (or μL) of blood.
D-Dimer testing
utilized for the diagnosis of deep vein thrombosis and pulmonary embolism.
Significance of elevated amounts of D-dimer in the bloodstream
Indicates recently degraded blood clots. Additional testing such as CT angiography of the pulmonary arteries may be needed.
liver function tests (LFT)
used to screen for damage to patient's liver. consists of blood tests that measure the levels of various enzymes and proteins in circulating blood.
Alanine Transaminase (ALT), Aspartate
transaminase (AST), and Alkaline phosphate
(ALP)
Liver Function Tests for hepatitis, cirrhosis, blocked bile ducts, or liver malignancy
Normal ALT
7–55 units per liter (U/L)
Normal AST
8–48 units per liter (U/L)
Normal ALP
45–115 units per liter (U/L)
Gamma-glutamyltransferase (GGT)
Used to determine the cause of elevated ALP that can occur in certain liver diseases.
Bilirubin
Type of LFT to determine jaundice (yellowed pigmentation of the skin, orbits, and other mucous membranes).
Normal Bilirubin
0.1–1.2 milligrams per deciliter (mg/dL)
Albumin
LFT to determine chronic liver disease such as cirrhosis.
Normal Albumin
3.5–5.0 grams per deciliter (g/dL)
Total protein (TP)
Type of LFT to determine liver disease
Normal TP
6.3–7.9 grams per deciliter (g/dL) Liver disease may be indicated by a low value
L-Lactate dehydrogenase (LD)
LFT to indicate of liver disease such as hepatitis.
Normal L-Lactate dehydrogenase (LD)
122–222 units per liter (U/L)