ascvd Flashcards
patient 78 needs statin therapy what should be given
moderate intensity statin
paitent 68 needs statin therapy what to give
high intensity - atorvastatin 40-80
Hight intensity statin therapy should lower LDL-c by what percent
50%
patient with LDL-c greater than 190mg/dL whats the ASCVD
no ASCVD needed just treat the LDL with high intense
Diabete Type 1 or 2 age 55with 10y ascvd risk 6.5% what should be used
moderate intensity statin
Patient with diabetes type 2 with 70 with 10yr ascvd risk 8% what should be used
high intensity
45yo patient with no comorbidities has ASCVD 7.7%
give moderate to high
what labs are needed to start statin therapy
fasting lipid panel, ALT, HgA1c , CK
after starting high statin what would be the next step to monitor, how much change should accure
high intensity should should 50% change,
reinforce adherence and followup 3-12wk
Patient on stains comes in with complaints of muscle pain and weakness what should be checked
CK should be performed and Lipid panel to assess adherence; may do a washout period and change medication. If symptoms persist after 2 weeks consider other myalgia
general nonblack population bp meds
thiazides, ccb, acei/arb
general black population bp treatment
ccb or thiazides
patients with chronic kidney disease start on what bp medication
ACEI/ ARB
When should bp medications be titrated up or added to if goal not acheived
after 1 month
if patient requries 3 or more bp meds the apn should
refere to specialist
how often to blood pressure and cardio health be assessed
every visit
how much exercise is recommended daily
30min almost everyday moderate to vigorous
What are the 5As to look at physical activity
assess, adivse, agree, assist arrange
what goal caloric intake and reduced caloric intake should be suggested for women and men,
1200 to 1500 for women and 1500 to 1800 for men
reduce 500 to 750kcal/day
how often should pateint be followed for new diet prescription
every 6 months
what type of diet improves bp and ldl-c
less than 2400mg is recommended
less than 1500 better
less than 1000 best reduces by 30%
Exercise/stress ECG may be considered for in intermediate-risk
asymptomatic adults how do you know
ascvd risk score
when is echo not indicated
HPTN, in low- or
intermediate-risk asymptomatic adults.
SOB, fatigue, or CP symptom of coronary microvascular
disease (MVD); affects the heart’s smallest coronary
arteries and is more likely to affect women than men. Also
called cardiac syndrome X and non-obstructive CHD. what is recommended
stress echo
