Pharmville

• Very Low Density Lipoproteins (VLDL)
• --Triglycerides
• 
Low Density Lipoproteins (LDL) Cholesterol
• --Greatest contributor to CAD

• High Density Lipoproteins (HDL) Cholesterol

Some folks are genetically predisposed to metabolizing LDL and VLDL--> high cholesterol--> ^risk of CAD

• Total cholesterol< 200 mg/dl—desirable
• > 240 mg/dl—high risk
• 
HDL cholesterol< 35 mg/dl—low. Should be ~50-60mg/dl
• 
LDL cholesterol< 130 mg/dl—desirable

• levels above 200 mg/dL = Undesirable
• Nicotinic acid and fibrates help lower TG levels

• Monitor lipid levels
• emphasize importance of dietary modificaiton in addition to Rx therapy.
• help establish appropriate exercise program because exercise->v cholesterol.
• this is life-long... encourage adherence to therapeutic regimen.
• Bring up dead family members who died of stroke/heart attack, CAD, etc. to help motivate pt