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
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5
What are the components of the UnDo IT?
Eat Better
Move More
Stress Less
Love More
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5
Discuss the FITT principle and how it could be used for Mr. Edwards
Frequency; Intensity; Timing; Type
prescription for exercise routine that is patient specific
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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
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5
What are the benefits of Statins?
decrease cholesterol
protect against heart attack and stroke
generally safe, highly effective
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5
Discuss the benefits and risks of the Nutraceutical Supplement Green Tea Extract and Green Tea (EGCG) in treating/managing dyslipidemia?
Catechins may improve the lipid profile; reduction in total cholesterol; anti-inflammatory; stimulatory effects of caffeine
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5
What risk factors are associated with ASCVD that are not lifestyle activities and or diseases?
Age >45 men; Age> 50 women
Family history
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baam
Lose 10 points!
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shark
Other team loses 25 points!
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rocket
Go to first place!
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lifesaver
Give 25 points!
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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
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5
Discuss the benefits and risks of the Nutraceutical Supplement Red Yeast Rice in treating/managing dyslipidemia?
statin like properties; decrease obesity related inflammation, insulin resistance, nonalcoholic fatty liver disease; must be highly purified/certified
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5
Prevalence of ASCVD in the US
Leading cause of death in the US (1 out of 4)
Affects races roughly equally
Roughly 6% of the population has heart disease
220 billion dollar cost burden
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5
This rare but serious side effect of statins is diagnosed by measuring serum creatine kinase
Rhabdomyolysis
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5
Discuss the principle behind Motivational Interviewing
Guiding style of interview: It assumes the patients know whats best for them; helps them confront ambivalence to change; gets patient to say how/why to change
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5
What is the normal range for CK?
healthy adult, the serum CK level varies with a number of factors (gender, race and activity), but normal range is 22 to 198 U/L (units per liter)