CARDIAC (sara michelle)
we intiate statin therapy when the ASCVD risk is
> 7.5%
how often to do a lipid profile?
q 5 years, unless pt has risk factors (such as increased BMI)
if pt has risk factors for HLD, when do we need to RECHECK?
every 1-3 months , then yearly after starting on medication tx
2 eye issues r/t HLD?
Arcus senilis and xanthelesma
What are the 2 high intensity statins?
Atorvastatin (Lipitor) and Rosuvastatin (Crestor)
S/S to be aware of while on statin therapy (2)
NEW jaundice and muscle pain
If we don't stop statin soon enough when pt experiences muscle pain then what can it
progress to?
acute renal failure
for Rhabdomyolysis check
CK levels
new jaundice check
LFT's
having NEW jaundice can indicate
acute drug induced hepatits
new muscle pain and orange pee - RHABDO
, the key distinguishing symptom between rhabdo and acute drug induced hepatitis is
intense muscle pain with RHABDO specifically.......if we see that in questions WE ARE TO
CHOOSE CHECK CK LEVELS - NOT LIPID PANEL - RHABDO AFFECTS KIDNEYS
do not ingest what while on statin therapy
grapefuit juice
if triglycerides are >500-1000, then the pt MOST definetley will develop
pancreatitis
what BP and age should we initiate medication therapy for HTN?
>150/90 and >60 y/o
we will want to at least do lifestyle changes before anything else for at least 3 months w
home BP logs
ACE monitor (2)
renal function (GFR, BUN, Creat) AND potassium
ACE meds can cause
angioedema
what are the 2 BP med classes preferred for african americans
thiazides and CCB
thiazides avoid in pts with (3)
glucose, triglycerides and uric acid
REMEMBER HCT (like HCTZ)
Hyperglycemia
Crystals
Triglycerides (high)
"HCTZ" mneumonic to remember what pts to avoid prescribing thiazides to
Hyperglycemia
Crystals
Triglycerides (high)
we intiate statin therapy when the ASCVD risk is
> 7.5%
how often to do a lipid profile?
q 5 years, unless pt has risk factors (such as increased BMI)
if pt has risk factors for HLD, when do we need to RECHECK?
every 1-3 months , then yearly after starting on medication tx
2 eye issues r/t HLD?
Arcus senilis and xanthelesma
What are the 2 high intensity statins?
Atorvastatin (Lipitor) and Rosuvastatin (Crestor)
S/S to be aware of while on statin therapy (2)
NEW jaundice and muscle pain
If we don't stop statin soon enough when pt experiences muscle pain then what can it
progress to?
acute renal failure
for Rhabdomyolysis check
CK levels
new jaundice check
LFT's
having NEW jaundice can indicate
acute drug induced hepatits
new muscle pain and orange pee - RHABDO
, the key distinguishing symptom between rhabdo and acute drug induced hepatitis is
intense muscle pain with RHABDO specifically.......if we see that in questions WE ARE TO
CHOOSE CHECK CK LEVELS - NOT LIPID PANEL - RHABDO AFFECTS KIDNEYS
do not ingest what while on statin therapy
grapefuit juice
if triglycerides are >500-1000, then the pt MOST definetley will develop
pancreatitis
what BP and age should we initiate medication therapy for HTN?
>150/90 and >60 y/o
we will want to at least do lifestyle changes before anything else for at least 3 months w
home BP logs
ACE monitor (2)
renal function (GFR, BUN, Creat) AND potassium
ACE meds can cause
angioedema
what are the 2 BP med classes preferred for african americans
thiazides and CCB
thiazides avoid in pts with (3)
glucose, triglycerides and uric acid
REMEMBER HCT (like HCTZ)
Hyperglycemia
Crystals
Triglycerides (high)
"HCTZ" mneumonic to remember what pts to avoid prescribing thiazides to
Hyperglycemia
Crystals
Triglycerides (high)
