NURS 6551: Primary Care of Women INITIAL POST Diagnosing and Managing Common Cardiovascular and Neurologic Conditions

NURS 6551: Primary Care of Women INITIAL POST Diagnosing and Managing Common Cardiovascular and Neurologic Conditions A 48-year-old overweight African American female is in the clinic for a wellness visit. A routine fasting lipid panel returned with the following results:  Total cholesterol: 305 mmol/L  Low-density lipoprotein (LDL): 180 mg/dl  High-density lipoprotein (HDL): 30 mg/dl  Triglycerides: 165 mg/dl Primary Diagnosis After reviewing the above displayed patient’s laboratory results, I concluded that her high-density lipoprotein (HDL) of 30mg/dl is low. According to the National Cholesterol Treatment Panel guidelines a HDL-C level of 40 mg/dL is considered low. Furthermore, a low HDL is linked to a premature coronary artery disease which also indicates increased frequency of lipid screening recommendation since HDL was found to facilitate cholesterol transport from peripheral lipid-laden macrophages to the liver for biliary excretion (Kherae & Plutzky, 2013). Furthermore, according to the classification defined by the National Cholesterol Education Panel’s (NCEP), the patient’s LDL Cholesterol of 180mg/dl is rated as high, her total cholesterol of 305mg/dl is in the high category, while her triglycerides of 165mg/dl is rated as borderline high (Nelson, 2013). The laboratory test results indicate a primary diagnosis of mixed hyperlipidemia with hypercholesteremia. Mixed hyperlipidemia can be broadly classified as isolated elevation of cholesterol, isolated triglycerides, or elevation of both (Nelson, 2013). Differential Diagn