This rare but serious side effect of statins is diagnosed by measuring serum creatine kinase
Rhabdomyolysis
Oops!
Check
Okay!
Check
5
What are the steps in Motivational Interviewing
1. open ended questions for pt to consider how/why to change
2. Listen to understand pt experiences; capture account; use empathy
3. Inform w/ permission
decrease cholesterol
protect against heart attack and stroke
generally safe, highly effective
Oops!
Check
Okay!
Check
5
What are the benefits and potential problems with the UnDo IT program?
Benefits: great lifestyle choices
Problems: cost, time consuming
Oops!
Check
Okay!
Check
5
Justify the use of Vitamin D in the treatment of ASCVD
Vitamin D deficiency is independently associated with myalgia, myositis, myopathy, myonecrosis; statins may affect vitamin D levels
Oops!
Check
Okay!
Check
baam
Lose 10 points!
Oops!
seesaw
Swap points!
Okay!
gift
Win 25 points!
Okay!
lifesaver
Give 5 points!
Oops!
heart
Other team wins 5 points!
Oops!
fairy
Take points!
5
10
15
20
25
gift
Win 20 points!
Okay!
thief
Give points!
5
10
15
20
25
5
What diseases are associated risk factors of ASCVD?
Diabetes
Hypertension
Hyperlipidemia
Oops!
Check
Okay!
Check
5
Justify the use of CoQ10 in the treatment of ASCVD
endogenous CoQ10 plays a role in muscle cell energy production; statins decrease endogenous CoQ10
Oops!
Check
Okay!
Check
5
Explain the Mayo Clinic Statin Choice Decision Aid
Calculates your risk of having a heart attack in the next 10 years based on your risk factors
Deciding whether or not to go on a statin, a primary prevention
Oops!
Check
Okay!
Check
5
What changes and supplements can be taken to improve statin related myalgias (muscle pain)?
Supplements: Vitamin D, CoQ10
Change the Statin
High potency statin at lower dose given less frequently
Oops!
Check
Okay!
Check
5
What risk factors are associated with ASCVD that are not lifestyle activities and or diseases?
Age >45 men; Age> 50 women
Family history
Oops!
Check
Okay!
Check
5
Explain how changing to a healthier diet can benefit Mr. Edwards
Current diet is SAD; Changing to a mediterranean diet/DASH will decrease inflammation, LDL, TD, BP, HR & overall risk for another cardiac episode