Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
24 Cards in this Set
- Front
- Back
|
Who doesn't need a Qrisk2 assessment? |
- Pre-existing CV risk - >85 years of age - eGFR <60 - familial hypercholesterolaemia - Type 1 diabetes |
|
|
what is the drug of choice for primary prevention? |
Atorvastatin |
|
|
Why are non-HDL cholesterol levels now checked? |
VLDLP & IDL are also atherogenic |
|
|
What is the starting dose of atorvastatin for those with established heart disease? |
80 mg |
|
|
Comment a stain use in the >85s |
Start atorvastatin without a Qrisk assessment |
|
|
What should be done before starting a station |
- measure lipid profile - check for muscle pain - measure baseline transaminases - arrange 3 month review |
|
|
What checks are normally done at 3 months after starting a statin |
- measure non HDL, HDL & total cholesterol - aim for 40% reduction in cholesterol - check transaminase levels |
|
|
what Statin checks are done at 12 months? |
- measure lipid profile - measure transaminases |
|
|
Comment on statins in pregnancy? |
Statins are contraindicated in pregnancy |
|
|
What is a lipid profile |
- HDL - non HDL - Total cholesterol |
|
|
When should a FH of hypercholesterolaemia be suspected? |
- Cholesterol > 7.5 - FH pre term cardiac death |
|
|
What are the referral criteria for raised lipids |
- Total cholesterol > 9 - non HDL > 7.5 - triglyceride > 20 (urgent) - triglyceride > 10 (routine) |
|
|
what is the secondary prevention dose of atorvastatin |
80 mg (unless patient has chronic kidney disease, dose is then > 20mg) |
|
|
What is the most common liver related side effect of stains? |
Asymptomatic rise in ALT/AST |
|
|
What is recommended primary and secondary prevention for CVD |
Statin |
|
|
When should statin treatment be considered |
When CVD risk is > 10% over 10 years |
|
|
What single risk factor is responsible for 60% of CVD |
Cholesterol > 3.8 |
|
|
In whom will a Qrisk2 score underestimate risk in |
- those with BMI > 40 - HIV sufferers |
|
|
Dose of atorvastatin for Type 1 diabetics with no pre-existing CVD diagnosis |
Atorvastatin 20 mg |
|
|
Dose of atorvastatin for Type 1 diabetics with evidence of CVD |
Atorvastatin 80 mg |
|
|
What dose of atorvastatin should be given to the patient with pre-existing CVD but who have chronic kidney disease (CKD) |
Atorvastatin 20 mg |
|
|
What dose of atorvastatin with those who have suffered a MI, ischaemic stroke, new diagnosis of peripheral vascular disease |
Atorvastatin 80 mg |
|
|
What is non HDL cholesterol |
LDL, IDL, VLDL cholesterol |
|
|
What are the symptoms of rhabdomylosis |
- muscle aches - pink urine - hyperkalaemia - dehydration
|
