Management of a Patient with Dyslipidemia to include Hyperlipidemia

Question 1

Dyslipidemia is defined as an elevated _______ or low levels of ______.

Answer 1

-elevated total or low-density (LDL)
cholesterol levels
-low levels of high-density lipoprotein (HDL)
cholesterol

Question 2

______is considered “bad cholesterol” as elevated levels have been shown to accelerate plaque formation.

Answer 2

LDL

Question 3

is considered “good cholesterol” because it transports cholesterol to your liver to be expelled from your body.

Answer 3

HDL

Question 4

High Triglyceride level of _______ can cause formation of eruptive Xanthomas (red yellow papules, especially on the buttocks).

Answer 4

(> 1000 mg/dl)

Question 5

High Triglycerides levels _______ can cause Lipemia retinalis
(cream colored blood vessels in the fundus of the eye).

Answer 5

(>2000 mg/dl)

Question 6

What high levels of what can precipitate acute pancreatitis?

Answer 6

High triglycerides

Question 7

High _____ concentrations can lead to tendinous Xanthomas on certain
tendons (Achilles, patella, and back of the hand).

Answer 7

LDL

Question 8

What lab would you order for a PT with suspected dyslipidemia.

Answer 8

Lipid panel (Cholesterol, Trig, HDL, LDL)

Question 9

What would you use to treat dyslipidemia?

Answer 9

Statins (HMG-CoA Reductase Inhibitors)

Question 10

What are your Initial Management options for you pt with suspected dyslipidemia?

Answer 10

(1) Discuss starting Lifestyle Modifications (AHA/ACC guidelines), diet, aerobic exercises, weight loss, stop smoking.
(2) Start screening patients at age 20-39 with a lipid panel and calculate ASCVD Risk,
(3) At the age 40-79 screen with lipid panel and calculate ASCVD Risk.