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what the risks are blood test, ck, creatine kinase, creatine phosphokinase, a cpk, blood test that measures creatine phosphokinase, cpk, an enzyme found predominantly, in the heart, brain, skeletal muscle, total cpk level is substantially elevated, indicates injury, stress to one, areas, 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 patient, pattern of a rise, fall in cpk, cpk isoenzymes, diagnostically significant, , 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, a muscle is damaged, cpk leaks, bloodstream, determining which isoenzyme, specific form of cpk, elevated, help determine which tissue has been damaged, diagnose heart attack, evaluate cause of chest pain, determine the extent of muscle damage, drugs, trauma, immobility, detect early dermatomyositis, polymyositis, distinguish malignant hyperthermia, a postoperative infection, help discover carriers of muscular dystrophy, duchenne, repeated checks of cpk levels performed, pattern, timing of a rise, fall in cpk levels, diagnostically significant, a heart attack is suspected, higher than normal total cpk levels seen withconditions the following, heart attack, myocarditis, inflammation, the heart muscle, central nervous system trauma, stroke, convulsions, delirium tremens, dermatomyositis, polymyositis, electric shock, muscular dystrophies, pulmonary infarction, lung tissue death, additional conditions, give positive test results, hypothyroidism, pericarditis following a heart attack, rhabdomyolysis, excessive bleeding, fainting, feeling light-headed, hematoma, blood accumulating under the skin, infection, a slight risk, the skin is broken, multiple punctures to locate veins, other tests, conducted, the exact location of muscle damage, factors, affect test results include cardiac catheterization, intramuscular injections, trauma to muscles, recent surgery, vigorous, prolonged exercise, drugs, increase cpk measurements include amphotericin b, ampicillin, anesthetics, anticoagulants, aspirin, clofibrate, dexamethasone, furosemide, morphine, alcohol, cocaine, veins, arteries vary in size, obtaining a blood sample more difficult, than from others.