DYSLIPIDEMIA

Question 1

HOW DO YOU CALCULATE LDL?
WHEN DO YOU NOT USE THIS EQUATION?

Answer 1

LDL = TC - HDL - (TG/5)
NOT FOR TG > 400

Question 2

WHICH STATIN INTENSITY?
CLINICAL ASCVD

Answer 2

HIGH INTENSITY

Question 3

WHICH STATIN INTENSITY?
LDL ≥ 190

Answer 3

HIGH INTENSITY

Question 4

WHICH STATIN INTENSITY?
DIABETES AGE 40-75 YEARS WITH LDL BETWEEN 70-189

Answer 4

IF OTHER ASCVD RISK FACTORS = HIGH
REGARDLESS OF ASCVD RISK = MODERATE

Question 5

WHICH STATIN INTENSITY?
AGE 40 - 75 YEARS WITH LDL BETWEEN 70-189

Answer 5

IF ASCVD RISK ≥ 20% = HIGH INTENSITY
IF ASCVD RISK 7.5-19.9 + RISK ENHANCING FACTORS = MODERATE INTENSITY

Question 6

EXAMPLES OF RISK ENHANCING FACTORS

Answer 6

METABOLIC SYNDROME
CKD
HX OF PREECLAMPSIA OR PREMATURE MENOPAUSE
CHRONIC INFLAM DZ
HIGH CRP
HIGH CAC

Question 7

WHAT LEVEL IS CONSIDERED HIGH FOR CAC

Answer 7

> 100
INITIATE STATIN

Question 8

WHAT INTENSITY IS THIS DOSE?
ATORVASTATIN 40 MG

Answer 8

HIGH

Question 9

WHAT INTENSITY IS THIS DOSE?
ATORVASTATIN 80 MG

Answer 9

HIGH

Question 10

WHAT INTENSITY IS THIS DOSE?
ROSUVASTATIN 20 MG

Answer 10

HIGH

Question 11

WHAT INTENSITY IS THIS DOSE?
ROSUVASTATIN 40 MG

Answer 11

HIGH

Question 12

WHAT INTENSITY IS THIS DOSE?
ATORVASTATIN 10 MG

Answer 12

MODERATE

Question 13

WHAT INTENSITY IS THIS DOSE?
ATORVASTATIN 20 MG

Answer 13

MODERATE

Question 14

WHAT INTENSITY IS THIS DOSE?
ROSUVASTATIN 5 MG

Answer 14

MODERATE

Question 15

WHAT INTENSITY IS THIS DOSE?
ROSUVASTATIN 10 MG

Answer 15

MODERATE

Question 16

WHAT INTENSITY IS THIS DOSE?
SIMVASTATIN 20 MG

Answer 16

MODERATE

Question 17

WHAT INTENSITY IS THIS DOSE?
SIMVASTATIN 40 MG

Answer 17

MODERATE

Question 18

WHAT INTENSITY IS THIS DOSE?
PRAVASTATIN 40 MG

Answer 18

MODERATE

Question 19

WHAT INTENSITY IS THIS DOSE?
PRAVASTATIN 80 MG

Answer 19

MODERATE

Question 20

WHAT INTENSITY IS THIS DOSE?
LOVASTATIN 40 MG

Answer 20

MODERATE

Question 21

WHAT INTENSITY IS THIS DOSE?
FLUVASTATIN 40 MG BID

Answer 21

MODERATE

Question 22

WHAT INTENSITY IS THIS DOSE?
FLUVASTATIN 80 MG XL

Answer 22

MODERATE

Question 23

WHAT INTENSITY IS THIS DOSE?
PITAVASTATIN 2 MG

Answer 23

MODERATE

Question 24

WHAT INTENSITY IS THIS DOSE?
PITAVASTATIN 4 MG

Answer 24

MODERATE

Question 25

WHAT INTENSITY IS THIS DOSE?
SIMVASTATIN 10 MG

Answer 25

LOW

Question 26

WHAT INTENSITY IS THIS DOSE?
PRAVASTATIN 10 MG

Answer 26

LOW

Question 27

WHAT INTENSITY IS THIS DOSE?
PRAVASTATIN 20 MG

Answer 27

LOW

Question 28

WHAT INTENSITY IS THIS DOSE?
LOVASTATIN 20 MG

Answer 28

LOW

Question 29

WHAT INTENSITY IS THIS DOSE?
FLUVASTATIN 20 MG

Answer 29

LOW

Question 30

WHAT INTENSITY IS THIS DOSE?
FLUVASTATIN 40 MG

Answer 30

LOW

Question 31

WHAT INTENSITY IS THIS DOSE?
PITAVASTATIN 1 MG

Answer 31

LOW

Question 32

STATIN EQUIVALENT DOSES

Answer 32

PHARMACISTS ROCK AT SAVING LIVES AND PREVENTING FAT
PITAVA 2
ROSUVA 5
ATORVA 10
SIMVA 20
LOVA 40
PRAVA 40
FLUVA 80

Question 33

MYALGIA MANAGEMENT

Answer 33

HOLD STATIN, CHECK CPK
RECHALLENGE WITH SAME STATIN AT SAME OR LOWER DOSE
IF RETURNS, DC STATIN AND TRY A NEW STATIN

Question 34

WHICH STATINS SHOULD BE TAKEN AT NIGHT?

Answer 34

FLUVASTATIN IR
LOVASTATIN
SIMVASTATIN

Question 35

WHICH STATINS HAVE LESS DDI

Answer 35

ROSUVASTATIN
PRAVASTATIN

Question 36

WHAT IS THE MAX DAILY DOSE OF THESE STATINS WITH AMIODARONE

Answer 36

SIMVA 20 MG
LOVA 40 MG

Question 37

WHAT IS THE MAX DAILY DOSE OF THESE STATINS WITH NON-DHP

Answer 37

SIMVA 10 MG
LOVA 20 MG

Question 38

WHICH FISH OIL PRODUCT MAY CAUSE INCREASED LDL

Answer 38

LOVAZA (OMEGA-3)
NOT VASCEPA (ICOSAPENT)

Question 39

WHICH LIPID MEDICATION MAY CAUSE FLUSHING?
HOW CAN IT BE MANAGED

Answer 39

NIACIN
TAKE ASPIRIN 325 MG 30-60 MIN BEFORE NICAIN
TAK WITH FOOD, AVOIDING SPICY, ALCOHOL, AND HOT BEVERAGES