Selasa, 26 Maret 2013

what would be good nursing diagnosis for pt with hyperlipidemia?

Q. My assigned primary diagnosis is hyperlipidemia, and I need 3 dx. I am having a hard time figuring out the best way to approch. the only thing my pt has that affects her daily life is a low carb low fat diet. Can anyone help?

A. Ok as someone who had a Xanthoma removed from her upper eyelid, guess this would be a good visual sign of Cholesterol.
http://www.nlm.nih.gov/medlineplus/ency/article/001447.htm
Then I diagnosed the high cholesterol in my own Mother, as she had rings around her Iris.
http://www.bionordic.dk/vis_billed.asp?filename=kol.jpg
Mother Cholesterol was higher than mine and mine not high enough to warrant the Xanthoma. Always remember the skin can tell you a lot about the Health of a Patient.
Hope that helps.
I was also going to say hardening of the arteries as they get furred up with cholesterol deposits, which would lead to cardiovascular, high blood pressure.

What is the difference between hyperlipidemia and hypercholesterolemia?
Q.

A. Hypercholesterolemia (literally: high blood cholesterol) is the presence of high levels of cholesterol in the blood.
Hyperlipidemia is an elevation of lipids (fats) in the bloodstream. These lipids include cholesterol, cholesterol esters (compounds), phospholipids and triglycerides.
Hyperlipidemia is caused by an elevated level of any kind of lipid (fat) in the blood stream, while hypercholesterolemia is only caused by high cholesterol in the blood stream.

Is there a particular group (ethnicity, sociological culture) that is predisposed for hyperlipidemia?
Q. Is there a particular group (ethnicity, sociological culture) that is predisposed for the condition of hyerlipidemia?

A. Yes; those with a family history of hyperlipidemia since predisposition rests equally on genetic and environmental factors and their interplay.

Another predisposition is use of oral contraceptives (OC) in women; and in people who use antihypertensives, retinoids, and/or hypolipidic agents.




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