Wk 14 Lipid Lowering Flashcards

1
Q
  1. How often should adults be screened for high cholesterol?
A

Every 5 years

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2
Q
  1. Cholesterol is mainly produced when?
A

At night

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3
Q
  1. Which lipoproteins are the “bad” lipoproteins?
A

LDL

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4
Q
  1. The triglycerides are carried by which lipoproteins?
A

VLDL

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5
Q
  1. Carbohydrates should be restricted to 50-60% of the caloric intake because they can form what?
A

Triglycerides

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6
Q
  1. Saturated fats should be what percent of the caloric intake?
A

< 7%

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7
Q
  1. How do HMG-CoA Reductase Inhibitors work?
A

Reduce synthesis of cholesterol by inhibiting the enzyme. And increasing the number of LDL receptors in the liver.

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8
Q
  1. When should statins be taken?
A

In the evening

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9
Q
  1. What are two severe adverse effects of statins?
A

Hepatoxicity and myopathy

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10
Q
  1. What are two contraindications for statins?
A

Liver disease and pregnancy

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11
Q
  1. How do bile-acid sequestrants lower cholesterol?
A

They inhibit reabsorption of bile and cause the liver to use LDLs in the blood to make more bile. The liver increases the number of LDL receptors in the liver.

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12
Q
  1. What deficiencies can be caused by bile-acid sequestrants?
A

Vitamin A,D, E,K

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13
Q
  1. A patient must wait how long after the administration of a bile-acid sequestrant before taking another medication?
A

4 hours

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14
Q
  1. Bile-acid sequestrants are taken to lower what?
A

LDL

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15
Q
  1. What three lipid changes are expected with Niacin?
A

Decreased triglycerides, decreased LDLs, increased HDL

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16
Q
  1. What medicines are used to premedicate patients prior to Niacin?
A

ASA or ibuprofen to limit flushing

17
Q
  1. Fibrates are the most effective drug for lowering what?
A

Triglycerides

18
Q
  1. Fibrates can cause what gastrointestinal dysfunction?
A

Gallstones, nausea, diarrhea, and abdominal pain

19
Q
  1. What major risk increases when fibrates are coadministered with statins?
A

Risk of myopathy. (Also liver injury and kidney disease)

20
Q
  1. Do fibrates increase or decrease the effect of warfarin?
A

Increase by displacing warfarin from the albumin.

21
Q
  1. How does ezetimibe (Zetia) work?
A

Blocks reabsorption of dietary and biliary cholesterol

22
Q
  1. What are the side effects of ezetimibe (Zetia)?
A

Myopathy, rhabdomyolysis, gallstones, pancreatitis, hepatitis, thrombocytopenia.

23
Q
  1. Lovaza is used to decrease which lipid?
A

Triglycerides.