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
