PHARM 180
PHARM 180 QUIZ 5 QUIZZES AND
SOLUTIONS
Hyperlipidemia - High levels of lipids in blood
Hyperlipidemia—major risk factor for... - cardiovascular disease
Hyperlipidemia contributers.... - Diets high in saturated fat and lack of exercise
3 types of lipoproteins - high-density lipoprotein (H D L), low-density lipoprotein
(L D L), very low-density lipoprotein (V L D L)
Treatment plan for reducing blood lipid levels... - Lifestyle changes (first)
Many patients can control dyslipidemia entirely through nonpharmacologic means
Lifestyle changes for reducing blood lipid levels include... - -Maintain optimal
weight**
-Implement a medically supervised
-Eliminate tobacco use**
Total cholesterol levels - less than 200 desirable**
High Total cholesterol level - ≥240
Optimal LDL cholesterol levels - less than 100mg/dl
PHARM 180
,PHARM 180
High LDL level - ≥160
Desirable HDL cholesterol levels - 60+ mg/dl (good)
Normal Serum Triglyceride levels - less than 150
High Serum triglycerides level - ≥200
Low HDL for men
≤ 40 (men) or 50 (women) - ≤ 40
Low HDL for women - ≤ 50
Foods allowed for lipid reducing diet - Rice, broccoli, walnuts, apples, rye and
whole-wheat bread, low- fat brownies, fresh fruits, tossed salad with olive oil, and
grilled chicken/salmon.
Foods allowed for lipid increasing diet - Any meat with gravy, apple pie, pecans,
macaroni and cheese, and low fat hamburger, raisin-oatmeal cookie
Medication for high LDL Cholesterol - Statins - atorvastatin (Lipitor)
Medication for high Total cholesterol - Bile Acids
1. Bile Acid Sequestrants
PHARM 180
, PHARM 180
-colesevelam (Welchol)
-colestipol (Colestid)
2. Bile-Acid Resins -cholestyramine (Questran)
Medication for high Serum triglcerides - fibric acids
Serious adverse effects of atorvastatin (Lipitor) - Rhabdomyolysis, severe myositis,
elevated hepatic enzymes
Serious adverse effects for cholestyramine (Questran) - GI tract obstruction,
vitamin deficiencies due to poor absorption
Serious adverse efects for Gemfibrozil (Lopid) - Rhabdomyolysis, cholelithiasis,
pancreatitis
Role of the nurse for dyslipidema.. - Assess patient's triglyceride, total cholesterol,
LDL, and HDL levels. MUST HAVE BASELINE***
atorvastatin (Lipitor), fluvastatin (Lescol), lovastatin (Mevacor), rosuvastatin
(Crestor), simvastatin (Zocor)
Are examples of... - HMG-CoA Reductase Inhibitors/Statins
Rhabdomyolysis - dissolution of striated muscle (caused by trauma, extreme
exertion, or drug toxicity; in severe cases renal failure can result)
Atorvastatin (Lipitor) therapeutic class... - Antihyperlipidemic
PHARM 180
PHARM 180 QUIZ 5 QUIZZES AND
SOLUTIONS
Hyperlipidemia - High levels of lipids in blood
Hyperlipidemia—major risk factor for... - cardiovascular disease
Hyperlipidemia contributers.... - Diets high in saturated fat and lack of exercise
3 types of lipoproteins - high-density lipoprotein (H D L), low-density lipoprotein
(L D L), very low-density lipoprotein (V L D L)
Treatment plan for reducing blood lipid levels... - Lifestyle changes (first)
Many patients can control dyslipidemia entirely through nonpharmacologic means
Lifestyle changes for reducing blood lipid levels include... - -Maintain optimal
weight**
-Implement a medically supervised
-Eliminate tobacco use**
Total cholesterol levels - less than 200 desirable**
High Total cholesterol level - ≥240
Optimal LDL cholesterol levels - less than 100mg/dl
PHARM 180
,PHARM 180
High LDL level - ≥160
Desirable HDL cholesterol levels - 60+ mg/dl (good)
Normal Serum Triglyceride levels - less than 150
High Serum triglycerides level - ≥200
Low HDL for men
≤ 40 (men) or 50 (women) - ≤ 40
Low HDL for women - ≤ 50
Foods allowed for lipid reducing diet - Rice, broccoli, walnuts, apples, rye and
whole-wheat bread, low- fat brownies, fresh fruits, tossed salad with olive oil, and
grilled chicken/salmon.
Foods allowed for lipid increasing diet - Any meat with gravy, apple pie, pecans,
macaroni and cheese, and low fat hamburger, raisin-oatmeal cookie
Medication for high LDL Cholesterol - Statins - atorvastatin (Lipitor)
Medication for high Total cholesterol - Bile Acids
1. Bile Acid Sequestrants
PHARM 180
, PHARM 180
-colesevelam (Welchol)
-colestipol (Colestid)
2. Bile-Acid Resins -cholestyramine (Questran)
Medication for high Serum triglcerides - fibric acids
Serious adverse effects of atorvastatin (Lipitor) - Rhabdomyolysis, severe myositis,
elevated hepatic enzymes
Serious adverse effects for cholestyramine (Questran) - GI tract obstruction,
vitamin deficiencies due to poor absorption
Serious adverse efects for Gemfibrozil (Lopid) - Rhabdomyolysis, cholelithiasis,
pancreatitis
Role of the nurse for dyslipidema.. - Assess patient's triglyceride, total cholesterol,
LDL, and HDL levels. MUST HAVE BASELINE***
atorvastatin (Lipitor), fluvastatin (Lescol), lovastatin (Mevacor), rosuvastatin
(Crestor), simvastatin (Zocor)
Are examples of... - HMG-CoA Reductase Inhibitors/Statins
Rhabdomyolysis - dissolution of striated muscle (caused by trauma, extreme
exertion, or drug toxicity; in severe cases renal failure can result)
Atorvastatin (Lipitor) therapeutic class... - Antihyperlipidemic
PHARM 180
