amandakzinn's version from 2015-11-16 03:13

Section 1

Question Answer
who should be screened?adults 20 years and older
clinical ASCVDacute coronary syndromes, history MI, stable or unstable angina, coronary or other arterial revascularization, stroke, TIA, PAD,
clinical ASCVD? yesunder 75 and younger high intensity....older than 75 then moderate
Just based on LDLLDL >= 190 and at least 21 years of age then high intensity
diabetes age 40-75 moderate intensity unless risk >= 7.5% then high intensity
just going off age 40-75LDL 70-189 and 10 year risk >= 7.5 then moderate or high intensity
monitoring initial fasting lipid panel followed by second lipid panel 3 months after and then every 12 months
how is metabolic syndrome diagnosed?3 or more of: waist >40inch men >35 inch women, TG>=150, HDL men <40 women <50, BP >=130/80, fasting >=110
lifestyle modificationsdiet, physical activity, viscious fiber, refferal dietician

Section 2

Question Answer
statins no use inchild bearing age (preg/breast feeding), active liver disease,
statins monitoringliver enzymes
statins counselingtake bedtime, muscle pain all over not from anything specific, ask what b/c on
fibric acid derivatives no use inbreast feeding/preg, severe renal/liver disease, pre-exist gallbladder disease, no simvastatin with gemfibrozil
fibric acid derivatives monitoringrenal status within 3 months then yearly, CBC first year, liver function tests
omega 3 fatty acids no use inIBD, fish allergy- def not OTC! can eat fish?
omega 3 fatty acids monitoringliver enzymes
omega 3 counselingtake with food or milk
niacin (ER) niaspan best no use inactive liver disease, active peptic ulcer, preg/breast feeding, gout, diabetes,
niaspan counselingtolerance dev to flushing, take ASA 325 or ibuprofen 200mg 30 mins before dosing at bedtime,
niaspan dosing start with 500mg at bedtime