Amanda Loveless RN Vanessa Stockton NP Some Hospital Somewhere

1. Coronary Artery Disease Amanda Loveless RN Vanessa Stockton NP Some Hospital Somewhere

2. Coronary Artery Disease • Healthy arteries are flexible, strong, and elastic. Their inner layer is smooth and blood flows freely. As you get older, your arteries become thicker, less elastic, and deposits build up in them. This leads to a general hardening of the arteries and slows blood flow, which can cause heart attack.

3. Kinkle Nosepicker Has a problem…. KN is concerned. He reports that he recently had a physical and was given a “clean bill of health”. He feels great but is worried. His family has a history of premature coronary disease. He would like to limit his risk factors but he just doesn’t know what to do.

4. Health History • KN is 55 years old, he has no chronic medical problems, he has never smoked. • However his family has a significant history for premature coronary artery disease on both his father and mother’s side of the family. • His father experienced his first heart attack at the age of 49. • His mother died from a heart attack at the age of 60. • KN denies any high blood pressure, diabetes r other medical problems. • KN is 5’10 and weighs 200 pounds, and lives a very sedentary life style.

5. KN’s Vital Signs • Blood Pressure • 128/70 • Normal for a man of his size and age • Pulse • 72 per minute • Normal to Low • Respiratory • 16 per minute • Normal

6. Lipid Profile Laboratory Analysis • Cholesterol • 243 MG/DL • High • Low Density Lipoprotein • 165 MG/DL • High (Normal is under 100) • High Density Lipoprotein • 31 MG/DL • Low (Normal is above 50) • Triglycerides (Sugar Levels) • 240 MG/DL • High (Normal is about 200) Lipid

7. Hyperlipidemia • Because KN has a High Low Density Lypoprotien, and a Low High Density Lypoprotien he is considered to have Hyperlipidemia. • Hyperlipidemia is an elevation of lipids (fats) in the bloodstream. These lipids include cholesterol, cholesterol esters (compounds), phospholipids and triglycerides (Sugar).. Lipids fat

8. Waist Hip Ratio • Measurements of the waist are taken at the belly button or the part of the abdomen that sticks out the furthest. • Measurements of the hips are taken at the level of buttocks. • Measurements should be taken at the end of a breath being exhaled. The measurement should be take without indenting the skin with the measuring tape. • WHP is the circumference of the waist divided by the circumference of the hips.

9. KNs WHP • KNs waist circumference is 48.5’’ • KNs hip circumference is 40.5’’ • KNs WHP is 1.2 which is considered higher than the 1.0 maximum recommended for men. • This indicates that KN has a more dangerous, higher cardiac risk body fat pattern than obesity alone would indicate.

10. KN’s Risk Factors for Coronary Artery Disease • KN is over 50 years old and male • KN has a family history of cardiac disease on both sides • KN lives a sedentary life style • KN is overweight with a high WHR • KN has Hyperlipidemia

11. How Does KN Lower His Risks • KN needs to evaluate his life style and work on things that make him at high risk. • KN cannot change his age, or family history. • KN can change his overweight condition and WHR, He can also work on Hyperlipodemia and sedentary life style.

12. Life Style Modification • KN lifestyle modifications should be directed toward weight. • KN needs to establish a routine exercise program and management of his Hyperlipidemia • Hyperlipidemia can be managed through diet, exercise • If those things do not help some medicines can be issued only with a good diet and exercise program.