What do you consider a positive troponin?
- 0Sep 20, '10 by jax22I work in a CCU and my hospital recently changed what they deem as a positive troponin from 0.5 to 0.1 . So now anyone with a troponin of 0.1 and above is automatically admitted to our CCU . Sometimes it's ridiculous how stable our patients are. What's considered a positive troponin in your CCU/ER?
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- 3Sep 21, '10 by getoveritnegative values at my institution are <0.1
0.6-1.5 ng/dL are generally consistent with the criteria for AMI.
I'm surprised that anyone with a trop of 0.1 or more is admitted to critical care though. Some elevations can be attributed to other causes.
- 0Sep 21, '10 by grandmawrinkleMy institution is 0.2 or higher for a positive result.
No one with elevated trops goes to an ICU bed at my facility unless they are seriously unstable. That's what the cardiac stepdown unit is for (they take NTG gtts, do pre/post angio care, etc.)
I've never worked anywhere with a "CCU" and don't know what kind of patients they get. Is that an ICU bed or a stepdown bed?
- 0Sep 21, '10 by TangoLimaI think our hospital considers anything over 0.1 as positive. However, these patients will usually go to a telemetry floor unless unstable or having an active MI. When I was on tele, we would routinely get patients on Nitro gtt. Positive troponins can be attributed to renal failure. I had a patient the other day that has chronically elevated troponins, although at this time I can't remember why, but every time he comes into the hospital, his troponins are high. No chest pain or other symptoms at all. Go figure.
- 0Sep 21, '10 by aCRNAhopefulQuote from grandmawrinkleI think hospitals with a CCU usually take medical cardiac and then the CVICU will take the cardiac surgical patients. My hospital is smaller so we do both in one unit + will often take more step-down type patients if acuity allows.I've never worked anywhere with a "CCU" and don't know what kind of patients they get. Is that an ICU bed or a stepdown bed?