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How often do you draw Troponins at your hospital?



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No. 10
from cherick22
Old Sep 25, 2009, 10:38 AM

Default Re: How often do you draw Troponins at your hospital?
Every 8 hrs times 3. Massachusetts
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No. 11
from talaxandra
Old Sep 25, 2009, 07:38 PM

Default Re: How often do you draw Troponins at your hospital?
RNcDreams - do 3/24 bloods show anything more significant? It just seems so much extra work and expense...
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No. 12
Old Sep 26, 2009, 12:49 PM

Dollar Re: How often do you draw Troponins at your hospital?
Approx 10hrs apart, used to be 6-8 hrs. Changed due to funding.
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No. 13
from al7139
Old Sep 28, 2009, 01:22 AM

Default Re: How often do you draw Troponins at your hospital?
Hi,
I am a tele nurse. When we get chest pain patients it's usually 3 sets of enzymes drawn every 6 or 8 hours apart. If 2 are negative, they get stressed the next day. Sometimes, they are what I call low positives (0.03 to 0.06), which are usually treated as negative. It's not till a patient has a troponin of 0.1 or greater that we think MI, and then you may draw more frequently to determine the peak point and when it starts to go down. This tells how bad the damage is. Hope this helps.
Amy
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No. 14
from anonymurse
Old Sep 29, 2009, 08:20 AM

Default Re: How often do you draw Troponins at your hospital?
Q3H x3 then 24H after the first draw.
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No. 15
from lindyjoe
Old Oct 01, 2009, 10:38 PM

Default Re: How often do you draw Troponins at your hospital?
We do CE q6hrs x3
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No. 16
Old Oct 01, 2009, 11:56 PM

Default Re: How often do you draw Troponins at your hospital?
we draw enzymes q6 x 3 sets for any chest pain r/o MI, unless they are trending upwards, then it's q 3 hours.
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No. 17
from RNcDreams
Old Oct 03, 2009, 07:49 PM

Default Re: How often do you draw Troponins at your hospital?
Originally Posted by talaxandra View Post
RNcDreams - do 3/24 bloods show anything more significant? It just seems so much extra work and expense...

Well, that's the issue!

Nobody knows WHY we do them so frequently... and it's kind of counterproductive to wake up the post- MI patient who needs rest, in order to stick them with another needle.... plus, you make a valid point about the EXPENSE!

So, I'm working on changing that!
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No. 18
Old Oct 05, 2009, 02:15 AM

Default Re: How often do you draw Troponins at your hospital?
It depends on the doctor on how often they are drawn at our hospital (Washington County Hospital in Hagerstown MD)......

one cardiology group orders their cardiac enzymes q6h x 3
another cardiology group orders their cardiac enzymes q8h x 3
and the hospitalist group orders their cardiac enzymes q8h x 2

Generally, there are either drawn every 6 hours or every 8 hours.....I have never seen them drawn every 3 hours

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No. 19
from Virgo_RN
Old Oct 08, 2009, 03:52 AM

Default Re: How often do you draw Troponins at your hospital?
We do an initial draw, then 3, 6, 12, and 24 hours post initial draw.
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