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Follow the lipid profile of a patient with initial presentation, interventions, and follow-ups. Track LDL-P, Sm. LDL-P, LDL-C, HDL-C, TG, Total Chol, and changes in weight or medications. Discuss implications for secondary prevention and additional therapies.
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Patient demographics (age, BMI, BP, etc…) LDL-P xxxx nmol/L Sm LDL-P xxxx nmol/L LDL-C xxx mg/dL HDL-C xx mg/dL TG xxx mg/dL Total Chol xxx mg/dL Can add IR markers if desire Initial Presentation - KL Initial Intervention:
Follow Up – KLx month(s) Any changes in patient weight, etc… LDL-P xxxx nmol/L Sm LDL-P xxx nmol/L LDL-C xx mg/dL HDL-C xx mg/dL TG xxx mg/dL Total Chol xxx mg/dL Insert IR markers if desire Any changes in medication or continue…
Follow Up – KLx months Any changes with patient weight, etc. LDL-P xxxx nmol/L Sm LDL-P xxx nmol/L LDL-C xxx mg/dL HDL-C xx mg/dL TG xxx mg/dL Total Chol xxx mg/dL Continue all meds and TLC – schedule 3 month follow up
Consult #1 Secondary Prevention on statin LDL cholesterol 57 Non HDL-C 106 At NCEP goal LDL Particle High risk 1835 Discordance Additional Therapy needed
Consult #2 Secondary Prevention on statin LDL cholesterol 60 Non HDL C 76 at NCEP Goals LDL Particle Concentration 1006 Also at Goal No further treatment needed