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Pharm Test 3
Lipid D/O's
14
Nursing
Undergraduate 4
04/18/2010

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Term
Lipid types:
1. Triglycerides
2. Phospholipids
3. Steroids
Definition
1. Triglycerides: Store fat
2. Phospholipids: Plasma membrane
3. Steroids: Cholesterol (Builds Vit. D, bile, cortisol)
Term
Lipoprotein roles:
1. HDL
2. LDL
3. VLDL
Definition
1. HDL: GOOD; transports chol from tissue
2. LDL: BAD; Chol to tissue (atheroscler)
3. VLDL: BAD; Becomes LDL
Term
Lab levels:
1. Total Chol
2. LDL
3. HDL
4. Trigs
Definition
1. Total Chol: <200
2. LDL: <160
3. HDL: 40-60
4. Trigs: <150

*LDL: <100 if heart disease, <130 if 1/2 risks
Term
Statins
Definition
Lower cholest synthesis and increases LDL receptors (excrete LDL feces)
Term
Statin considerations (6)
Definition
1. Preg cat X: Good BC!
2. Contra w/ alcoholism, liver D/O (D/C if LFT >3x normal)
3. Bedtime (chol high) except Lipitor
4. Increase H20 2-3L, take with food
5. NO grapefruit
6. Renal fail d/t Myalgia, myopathy, rhabdo
Term
Azetidinones (Zetia)
Definition
Blocks S. int. chol absorption, excrete in feces
Lowers LDL/trigs, increases HDL
Used w/ statins
Term
Vytorin
Definition
Zetia + Zocor
Term
Bile Acid Sequestriant
Definition
Questran, Colestid, Welchol
Bind w/ bile, lg resin molecule in s. intestine, excrete thru feces
Otherwise same as statins
Term
BAS considerations
Definition
Resin clogs (constipation)
Bleed D/O (Vit. K malab, ADEK)
1h b4 or 4-6h after meds (or will lower other meds absorption)
Term
BAS administration
Definition
Completely mix powder (mucosal irritant)
6 oz. H20, milk, fruit juice, soup, pulpy fruit
1 mo: Max Fx
Term
Nicotinic Acid (Niacin)
Definition
Stops free fatty acid release from adipose (VLDL)

Low dose: 25 mg/d (Vit. B)
High dose: 2-3 g/d (Lower chol)
Term
Niacin considerations
Definition
1. 1 mo for Fx
2. Pre-tx w/ ASA/Benadryl to reduce flush/hot flash
3. Hyperglycemia, hyperuricemia, hepatotox
4. W/ food @ bedtime
5. Contra: Liver D/O, pregnancy
Term
Fibric acid derivatives (Lopid)
Definition
Lowers serum trigs
Drug choice for triglyceridemia
Increases anticoag effects
Term
Fish oil (Lovaza)
Definition
Lowers trigs
May increase LDL/VLDL
Increases bleeding times
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