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15 Cards in this Set
- Front
- Back
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What is the difference in the complete lipoprotein panel and a secondary lipoprotein panel?
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Complete lipoprotein profile is preferred. It includes
fasting total cholesterol, LDL, HDL, triglycerides. The secondary option is non-fasting and includes total cholesterol and HDL. |
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What do test do you order if the secondary lipid panel (non-fasting) comes back with TC>200 mg/dL or HDL <40 mg/dL?
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Proceed to full lipoprotein profile.
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What are the 5 major risk factors for determining 10 year CHD risk and LDL goals?
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-Cigarette Smoking
-HTN: (BP ≥140/90 mmHg or on antihypertensive medication) -Low HDL: (<40 mg/dl) -Family history of premature CHD: (CHD in male first degree relative <55 years; CHD in female first degree relative <65 years) -Age: (Men ≥45 years; women ≥55 years) |
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The following account for what in relation to hyperlipidemia:
Genetic Factors Acquired Defects Aging Weight Gain Poor Diet Sedentary Lifestyle |
Causes of primary hyperlipidemia.
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What are the causes of secondary dislipidemia?
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*Diabetes- the BIG ONE!
*Hypothyroidism- T4 is responsible for regulating metabolism. In this condition you put on the weight. *Obstructive liver disease-if obstruction can’t breakdown lipids *Chronic renal failure- if you are losing proteins in urine, liver starts kicking out more protein. *Drugs that raise LDL cholesterol and lower HDL cholesterol (progestins, anabolic steroids, and corticosteroids) |
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What is the LDL goal for:
A. CHD Risk equivalent B. 2+ risk factors C. 0-1 risk factor |
A. CHD Risk Equivalent:<100
B. 2+ Risk factors: <130 C. 0-1 Risk factors: <160 |
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What is the 10 year risk of developing CHD if a patient has:
A. CHD Risk equivalent B. 2+ risk factors C. 0-1 risk factor |
A. CHD Risk equivalent: >20%
B. 2+ risk factors: 10-20% C. 0-1 risk factor: <10% |
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What is the standard 1st visit concerning lipid management?
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*Begin Therapeutic Lifestyle Changes
*Emphasize reduction in saturated fats and cholesterol *Initiate moderate physical activity *Consider referral to a dietitian (medical nutrition therapy) *Return visit in about 6 weeks |
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What is the standard 2nd visit concerning lipid management?
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Evaluate LDL response
Intensify LDL-lowering therapy (if goal not achieved) *Reinforce reduction in saturated fat and cholesterol *Consider plant stanols/sterols *Increase viscous (soluble) fiber Consider referral for medical nutrition therapy Return visit in about 6 weeks |
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What is the standard 3rd visit concerning lipid management?
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Evaluate LDL response
Continue lifestyle therapy (if LDL goal is achieved) Consider LDL-lowering drug (if LDL goal not achieved) Initiate management of metabolic syndrome (if necessary) Intensify weight management and physical activity Consider referral to a dietitian |
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At what stage in hyperlipidemia DRUG THERAPY do you refer out to a specialist?
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3rd
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How long before you try drug therapy in a patient with hyperlidemia?
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After about 3 months of TLC
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When drug therapy is initiated for hyperlipidemia, what are the usual drug choices?
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Initiate LDL-lowering drug therapy
*Usual drug options Statins Bile acid sequestrant or nicotinic acid Continue therapeutic lifestyle changes Return visit in about 6 weeks |
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What age group do men have a greater CHD risk than women?
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Middle age 35-65.
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At what age do women tend to develop CHD?
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Most CHD in women occurs after age 65
CHD in women delayed by 10–15 years (compared to men) |
