Sabtu, 04 Mei 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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Jumat, 03 Mei 2013

How much cholesterol should the average person allow in their diet a day?

Q. Also my Cholesterol is 225, does that mean I should have less than the average person? How much is the right amount?
They did not tell me what my good cholesterol vs my bad cholesterol is but im concerned with how much intake I should allow.

A. Hi MaggieMay,

Itâs currently recommended, for individuals with normal cholesterol levels, to limit dietary cholesterol intake to 300 mg or less daily. If you have high LDL cholesterol, the current recommendations are to limit dietary cholesterol to 200 mg or less per day.

All the best,
Lisa Nelson RD
http://www.lisanelsonrd.com

When does cholesterol synthesis occurs during the night, or whenever one goes to sleeps?
Q. -Statins are suggested to be taken at night when cholesterol synthesis occurs most. But does this process occurs during the daytime as well, when certain individuals goes to sleep (such as those with overnight working schedules), or does synthesis occur when there is very little or no sunlight present?

A. Where do I ask a question?

I have high cholesterol, and need to eat Oatmeal. What are some easy recipes?
Q. I can't just eat a bowl of Oatmeal! I never liked the mushy consistentcy. Anybody know any good recipes?
I can't even eat instant oatmeal! I am looking for some recipes that use oatmeal. Like some kind of oatmeal bars, or something simular!

A. Have you tried baked oatmeal? It's a little firmer.
INGREDIENTS

* 3 cups rolled oats
* 1 cup brown sugar
* 2 teaspoons ground cinnamon
* 2 teaspoons baking powder
* 1 teaspoon salt
* 1 cup milk
* 2 eggs
* 1/2 cup melted butter
* 2 teaspoons vanilla extract
* 3/4 cup dried cranberries


DIRECTIONS

1. Preheat oven to 350 degrees F (175 degrees C).
2. In a large bowl, mix together oats, brown sugar, cinnamon, baking powder, and salt. Beat in milk, eggs, melted butter, and vanilla extract. Stir in dried cranberries. Spread into a 9x13 inch baking dish.
3. Bake in preheated oven for 40 minutes.




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Why is cholesterol important for your health and the function of your body?

Q. Why is cholesterol important for your health and the function of your body? Is cholesterol in your diet really that bad?

A. Cholesterol doesn't make you fat or anything, but it contributes to heart disease in the future. If you have a high cholesterol, you have a high chance of heart disease. To prevent this, try eating mono-unsaturated fats, and poly-unsaturated fats. These are good fats that lower bad cholesterol, and increase your good cholesterol. Sources of mono and poly unsaturated fats are nuts - almonds, pecans, peanuts, and walnuts, and cooking oil, lol.

When does cholesterol synthesis occurs during the night, or whenever one goes to sleeps?
Q. -Statins are suggested to be taken at night when cholesterol synthesis occurs most. But does this process occurs during the daytime as well, when certain individuals goes to sleep (such as those with overnight working schedules), or does synthesis occur when there is very little or no sunlight present?

A. Where do I ask a question?

I have high cholesterol, and need to eat Oatmeal. What are some easy recipes?
Q. I can't just eat a bowl of Oatmeal! I never liked the mushy consistentcy. Anybody know any good recipes?
I can't even eat instant oatmeal! I am looking for some recipes that use oatmeal. Like some kind of oatmeal bars, or something simular!

A. Have you tried baked oatmeal? It's a little firmer.
INGREDIENTS

* 3 cups rolled oats
* 1 cup brown sugar
* 2 teaspoons ground cinnamon
* 2 teaspoons baking powder
* 1 teaspoon salt
* 1 cup milk
* 2 eggs
* 1/2 cup melted butter
* 2 teaspoons vanilla extract
* 3/4 cup dried cranberries


DIRECTIONS

1. Preheat oven to 350 degrees F (175 degrees C).
2. In a large bowl, mix together oats, brown sugar, cinnamon, baking powder, and salt. Beat in milk, eggs, melted butter, and vanilla extract. Stir in dried cranberries. Spread into a 9x13 inch baking dish.
3. Bake in preheated oven for 40 minutes.




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Kamis, 02 Mei 2013

How much cholesterol is in egg whites as opposed to the yolks?

Q. One of my co-workers told me that there are equal amounts of cholesterol in both the white and the yolk.

I told her that wasn't true because the yolk is what has all the calories, fat, and cholesterol in it, so I'm doing a good thing by eating egg white omelettes, as opposed to regular ones that include the yolk.

Or am I? Who's right?

A. Your coworker is an idiot. There is zero cholesterol in the white.

But the yolk has good stuff, too, like iron and omega fatty acids, so don't skip it all the time.

How much cholesterol should the average person allow in their diet a day?
Q. Also my Cholesterol is 225, does that mean I should have less than the average person? How much is the right amount?
They did not tell me what my good cholesterol vs my bad cholesterol is but im concerned with how much intake I should allow.

A. Hi MaggieMay,

Itâs currently recommended, for individuals with normal cholesterol levels, to limit dietary cholesterol intake to 300 mg or less daily. If you have high LDL cholesterol, the current recommendations are to limit dietary cholesterol to 200 mg or less per day.

All the best,
Lisa Nelson RD
http://www.lisanelsonrd.com

Why is cholesterol important for your health and the function of your body?
Q. Why is cholesterol important for your health and the function of your body? Is cholesterol in your diet really that bad?

A. Cholesterol doesn't make you fat or anything, but it contributes to heart disease in the future. If you have a high cholesterol, you have a high chance of heart disease. To prevent this, try eating mono-unsaturated fats, and poly-unsaturated fats. These are good fats that lower bad cholesterol, and increase your good cholesterol. Sources of mono and poly unsaturated fats are nuts - almonds, pecans, peanuts, and walnuts, and cooking oil, lol.




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Effects of low high density lipoprotein in human body function?

Q.

A. HDL carries the excess cholesterol (LDL) away from the arteries to the liver so that these won't cause atherosclerosis (hardening of the arteries). Low HDL then means a higher risk of heart disease.

Additional
As the for answer from the lady below - try and check out her other posts about cholesterol...

how do high density lipoprotein leads to diabetes?
Q. how do high density lipoprotein leads to diabetes?
what are the scientific theory behind it?

A. high density lipoproteins DO NOT lead to diabetes! HDL is the "good" cholesterol --- your question is totally wrong!

Type 2 is not "caused" by being overweight! Many factors are involved in the development of type 2 DM, including genetics, lifestyle, and medications. the idea that being overweight causes type 2 DM is an unfortunate piece of information, Obesity is a risk factor but is NOT the cause!

Of the following cell types, the greatest concentration of high-density lipoprotein (HDLs) would be associated?
Q. Of the following cell types, the greatest concentration of high-density lipoprotein (HDLs) would be associated with ________ cells
A) skin
B) muscle
C) connective tissue
D) blood
E) liver

A. Though these proteins that transport cholesterol are in the blood...
the liver is the one that makes this cholesterol, if it isn't obtained
from the foods we eat.

The LDL, which is considered the bad cholesterol...is the lipo
protein that transport cholesterol out from the liver to the cells
and is known to clog the arteries.

The HDL is the lipo protein that transports
cholesterol back to the liver...so since it is the HDL....
then I believe the answer would be the liver (E).

This seems kind of tricky...considering the cholesterol
is transported in the blood...so it might also be D) Blood
since blood tests are taken to determine how much
HDL and LDL are present.

Hope this has been of some help. Best wishes




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Rabu, 01 Mei 2013

If someone has hyperlipidemia, how soon after a blood draw can you see the lipids in their blood?

Q. I'm doing a case study on a patient with hyperlipidemia, among other things, and I found a photo of a vial of blood showing the lipids sitting at the top of the vial. It states that this photo was taken 4 hrs after the blood was drawn & I'm wondering if it has to sit for that long to be visible?

A. It is correct as soon as the blood starts to separate and settle or clot and separate, which begins immediately in around a half an hour you have pretty good separation, but we don't spin the blood down for 30 minutes (not when you need to get a result out in an hour)-5-10 minutes is more like it.

Do i have hyperlipidemia and obesity?
Q. so it wasnt long ago when i got blood out of me. i got a letter from the mail today saying im referred to a cardiology and nutritionist, and the near middle it saids this:
"Diagnosis: Obesity, Hyperlipidemia" , So do i have hyperlipidemia and obesity. Best Answer Get Max Points. Thank you for responding.
So by you saying yes i do have it but it can be diagnosis.

A. Hyperlipidemia is just a fancy name for high cholesterol. So, you are apparently overweight and have high cholesterol - these two things usually occur together and both are usually diet-related.

How does hypertention, hyperlipidemia, and smoking, participate in the pathophysiology of atherosclerosis?
Q.

A. http://en.wikipedia.org/wiki/Atherosclerosis
Cigarette-endothelial dysfunction and a relatively hypercoagulable state
hypertention-morphologic alterations of the arterial intima and functional alterations of the endothelium
hyperlipidemia- Endothelial injury
Bottom line- All risk factors cause endothelial dysfunction which is the earliest manifestation of atherosclerosis




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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.

Do you have hyperlipidemia or high cholesterol ? How old are you ?
Q. I'm in my mid-30's and my triglycerides and cholesterol are high. Please share your experience.

A. I'm 48 and mine were high, too. My doctor gave me three months to try to get it down on my own. I went on a no-fat diet...nothing fried, no red meat. no butter or margarine. Fish, nuts and olive oil are OK because they have the healthy kind of fat. Foods only steamed, grilled, etc. No more sauteed Chinese food! In three months, I got my total cholesterol down 100 points and triglycerides down 75 points, both now in a good range so I don't need medicine. You can do it! It does take discipline.....I didn't cheat. Also, I lost weight from this diet.

If someone has hyperlipidemia, how soon after a blood draw can you see the lipids in their blood?
Q. I'm doing a case study on a patient with hyperlipidemia, among other things, and I found a photo of a vial of blood showing the lipids sitting at the top of the vial. It states that this photo was taken 4 hrs after the blood was drawn & I'm wondering if it has to sit for that long to be visible?

A. It is correct as soon as the blood starts to separate and settle or clot and separate, which begins immediately in around a half an hour you have pretty good separation, but we don't spin the blood down for 30 minutes (not when you need to get a result out in an hour)-5-10 minutes is more like it.




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