Elevated troponin with renal failure? - page 2

Recently left a 12 lead class, instructor stated troponin I and T can be elevated in renal failure pts. When asked how/why, she could not give an answer. Looking at my resources, I cannot find an... Read More

  1. by   Ciale
    So maybe that's why the doc didn't order a POC Trop on my unresponsive pt the other day...they had already shocked him 6 times in the field so seems like a POC trop would be irrelevant?
  2. by   Esme12
    Quote from Ciale
    So maybe that's why the doc didn't order a POC Trop on my unresponsive pt the other day...they had already shocked him 6 times in the field so seems like a POC trop would be irrelevant?
    I would say after being defibrillated 6 times in the field makes a trop a lower priority.
  3. by   Ciale
    Quote from Esme12
    I would say after being defibrillated 6 times in the field makes a trop a lower priority.
    Thank you! The oncoming nurse asked if I got one when the pt arrived, I said no, and she rolled her eyes and ran to get a trop cartridge. Psh...dummy!
  4. by   Ikikaeru
    Had a pt with slightly elevated Troponin levels the other day and the ER doc stated it was probably due to her dehydration. He even consulted a cardiologist friend and he agreed. Personaly I didnt know that was something that could elevate it.

    Learn something new every day.
  5. by   Emergent
    Quote from AJPV
    I've just been reading some studies showing that habitual coffee drinking is protective to the kidneys and results in increased GFR over non-coffee drinkers. It results in decreased nephropathy in both non-diabetics and diabetics, and it decreases the incidence of glucose intolerence & type 2 diabetes. I wonder if I can include that among my teaching points.
    Great information, thanks!

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