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Discussion

Care Plan help please - EKG troponins

I have a pt that was admitted for SVT. One of my patient's nursing diagnoses is Risk for decreased cardiac output r/t altered electrical conduction secondary to tachycardia. The physician ordered this "EKG for elevated troponins TTE 2D w/wo M-mode rec." Can you help me understand how the EKG measures troponins? Also what is the TTE 2D w/wo M-mode rec part of it? I'm trying to determine if this order can be part of my interventions for the dx. Thanks!

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    I have only seen EKG orders written for elevated ST segment. Troponin is cardiac cellular waste normally removed from the cell by lysosomes, presence of which in serum labwork confirms damage to normal cardiac cellular activity. I can't say that I have seen orders written to find troponins on the EKG. If you don't get any confirmed responses here, you may need to post this in the cardiac/telemetry forum...because I wonder if that is correct, and the seasoned nurses may readily recognize the accuracy of this order.

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    The troponins were ALREADY elevated...that's why he wants the EKG. TTE=transthoracic echocardiogram, 2D=two dimensional,

    w/wo M-mode I don't know what exactly M-mode refers to, but it's just some type of visualization which could or could not be specific to the type of machine that they use, so he wants it with *and* without this mode. Rec probably means recommended. This was probably a consult, and so he's giving his recommendation. Each hospital has a different style of writing certain orders.

    Basically you've got two orders here. The EKG and the TTE.

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    oh duh!!! guess that's why I'm still a student...:lol2:

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