Nursing: Cardiac Special Topics: Evaluating the Patient with Elevated Troponin: Case Study Approach

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About the Course
Troponins have long since been the preferred biomarker of choice in detecting cardiac injury as seen in myocardial infarctions (MIs). The history and clinical context remain crucial in helping to identify the cause of the troponin rise; however, in most cases it is primarily the serial trend of the troponin levels, EKGs, and imaging that lead to a diagnosis. It is imperative that nurses are able to incorporate analysis of troponin levels into their assessment of patients with compromised cardiovascular systems.

The target audience for this education program is nurses who want to increase their abilities to evaluate patients with elevated troponins.

Learning Objectives
  1. Discuss the significanceof troponins.
  2. Analyze differentials and differences in the patient examinations.
  3. Identify common pitfalls and assumptions when evaluating patients with elevated troponins.
About the Author
Leslie E. Janik, MSN, ARNP, ACNP-BC, is an instructor of medicine in the College of Medicine, Mayo Clinic, Jacksonville, Florida. She has been a board-certified acute care nurse practitioner in the division of cardiovascular diseases at Mayo Clinic since 2005, when she helped establish a cardiovascular inpatient service. She works closely with the fellowship and residency programs and has assisted in developing protocols for the cardiology hospital and clinic practice. Ms. Janik is also part of the administrative team within her department and is supervisor to the cardiovascular advanced practice providers. She received her BSN from Millikin University in Decatur, Illinois, and her MSN with an acute care specialization from the University of Florida.Her nursing experience included neurology, heart and lung transplantation, and cardiology. In addition to her current role in cardiology, she has worked as an acute care nurse practitioner in both neurology and plastic surgery. She is a member of the Chest Pain Committee at Mayo Clinic, Florida, the American Academy of Nurse Practitioners, and has been published in the online journal Advance for NPs & PAs.

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