Week 1: Dyslipidemia Flashcards
What is the LDL threshold for automatic treatment? What is used to treat that level?
190
High-intensity statin
For patients with diabetes between 40-75, what needs to be added to their medication regimen?
moderate-intensity statin
consider high if ASCVD risk present
For patients between 20-39, when would you consider prescribing a statin?
family hx of premature ASCVD and LDL >160
For patients between 40-75 with LDL between 70-190 (no DM) and low risk ASCVD what is the plan?
lifestyle changes
For patients between 40-75 with LDL between 70-190 (no DM) and borderline risk ASCVD what is the plan?
Consider moderate intensity statin
For patients between 40-75 with LDL between 70-190 (no DM) and intermediate risk ASCVD what is the plan?
moderate-intensity statin
For patients between 40-75 with LDL between 70-190 (no DM) and high risk ASCVD what is the plan?
moderate-high intensity statin
Escalation plan - if a patient is on maximal statin therapy and LDL is >70, what would you do next?
Add ezetimibe
When is it reasonable to add the PCKS9 to the medication regimen?
if on maximal statin + Zetia and LDL >70 or non-HDL >100
What are the desirable lipid levels for a patient without diabetes?
LDL: 100
HDL: 60
TG: 150
TC: 200
What are the desirable lipid levels for a patient with diabetes?
LDL: 100
HDL 130
TG: 150
What combination is used to lower LDL?
statin, zetia, PCSK9
What combination is used to lower non-HDL, TG?
statin, omega-3 fatty acid, fibrate
What combination is used to lower LDL in familial hypercholesterolemia?
statin, PCSK9
Which statin can be used with CKD?
Atorvastatin
