Guidelines Flashcards Preview

ACNP REVIEW > Guidelines > Flashcards

Flashcards in Guidelines Deck (17)
1

ATP III non-HDL-C target in patients with elevated triglycerides (>200)

non-HDL-c= VLDL + LDL-C

Goal is 30 mg/dL higher than LDL-C goal

To cover for atherogenic potential of hypertriglyceridemia

2

Drugs that raise HDL-C

fibrates, nicotinic acid

3

Fibrates help with

reducing risk of CHD in people with high triglycerides and low HDL-C

ESPECIALLY in DM patients or metabolic syndromes

4

Nicotinic acid helps

reduce LDL-C and risk HDL-C

Patients tend to not tolerate it due to SE (flushing)

5

Serum cholesterol levels correlate with

CHD risk

6

For every 1% reduction in LDL, equates to

1% reduction in relative risk of CHD events

7

If baseline levels of LDL >130 patient must be started on pharmacologic therapy AND

dietary therapy

typically need to double dose of Statin (high dose regimen)

8

Absolute contraindications for fibrinolytic in Cardiac event

History of CVA
Cranial/Spinal surgery last 2 months
BP > 180/110
Known bleeding tendencies
Active bleeding last 10 days
Trauma or major surgery in last 10 days
Known or suspected pregnancy

9

Indications for fibrinolytic in Ischemic Stroke

No age limit
Onset of S/S 100K
Glucose > 50
No history of intracranial hemorrhage
No major surgery in last 14 days
No GI/urinary hemorrhage in last 21 days
No head trauma/stroke in last 3 months

10

Exercise contraindicated in

Complete heart block
embolic conditions
decompensated CHF
uncontrolled DM

11

In regards to exercise Men >40 and Women >50 at risk for cardiopulmonary disorders must seek

Medical evaluation prior to working out

Need EKG before working out

12

Routine screenings do not include

Chest x-ray
EKG
Self-breast exams

13

Screenings for adults 20-39

fractionated lipid panel at 20 the q5y

14

Screening for adults 40-59

baseline EKG (not necessary)
Colorectal screening at 50
Tonometry at 40 (IOC/glaucoma)

15

Screening for adults >60

stop doing prostate at 69
No recommendations for PAP >70

16

Preoperative work-up for elective surgery for patients

H/P, CBC, UA

No cardiac work-up unless H/P suggests it

17

Risk factors for LDL treatment

smoking
HTN
low HDL
family history of CHD
age (men >45, women >55)