Hell everyone! Quick question. I work in a tele/cardiac unit and am a pretty new nurse. My patient today was admitted with chest pain, sob. Hx included IDDM, MI, many stents through the years and finally quadruple bypass 2 months ago... I realize that troponins will be elevated for a while after CABG, but HOW LONG? His troponin upon amission was 0.29 and before i left(12 hrs later) was 0.40. Still exp acive chest pain, unrelieved by nitro, pt refusing morhpine. only motrin ordered which REALLY WASNT helping. BUN and creat were 19 and 0.9. No hx of renal issues. When i talked to the cardiologist, he said 'hes okay as long as hes not having chest pain. I said "BUT HE IS!!" He replied well, "i will just see him tomorrow... HIs pain is probably from his surgery...just his chest wall..":angryfire he was in a super hurry (as usual) and hung up!
nothing new right..LOL
SOOO..anyways i guess my questions are:
How long do troponins normally stay elevated after cabg??
Should troponins be GOING UP????? I assumed they would at least stay the same...but i dont know~!
thanks in advance guys