hyperlipidemia

Question 1

Normal cholesterol level

Answer 1

below 200

Question 2

When do we initiate statin therapy, when ASCVD risk is more than?

Answer 2

more than 7.5%

Question 3

normal trig

Answer 3

less 150

Question 4

normal HDL

Answer 4

40-60 higher better

Question 5

normal LDL

Answer 5

less 100

Question 6

Screen for lipid profiles we check how often?
-lipids stabilizing when do we check
- if on meds check?

Answer 6

Every 5 yr unless risk factors are present
-check 1-3 months
-check annual if treating

Question 7

First treatment step for hyperlipidemia?

Answer 7

1. Start with lifestyle
2. Statin lowest dose

Question 8

Name 2 High intensity statins?

Answer 8

Atorvastatin-lipitor
Roustatin- crestor

Question 9

S/s to watch with statins

Answer 9

Jaundice–> drug induced Hep–> draw LFT’s,

muscle pain–> rabdomy check CK level.
* if you do not stop statin watch for acute renal failure.

Question 10

What statin should we use if the pt has an elevated CHOL and his father died from an MI at age 45?

Answer 10

high intensity b/c high risk of cardiovascular event

Question 11

What medication do we want to use if the TG are more 500?

Answer 11

fenofibrate/tricor,

• pt is at risk for pancreatitis
  signs of necrotizing pancreatitis
  is cullen and grey turner sign