Nov 14, 2016 · The new guidelines, published in the Journal of the American Medical Association, suggests that people ages 40 to 75 who have one or more …
people between 40 and 75 years of age who have a 10-year risk of heart disease that is 7.5 percent or higher Learn More About Stroke » In the first three groups, doctors do …
Jan 11, 2017 · If your cholesterol is dangerously high, it’s also likely your doctor will prescribe a statin. However, if you’re under the age of 40, there’s a …
Oct 01, 2020 · Current Literature. In patients age 75 and younger, the efficacy of statins for primary prevention is well-established on the basis of multiple randomized trials, which have found that they reduce the relative risk of major vascular events by 20-30%. 2,3 Given the paucity of adults >70 years in clinical trials, the evidence for the efficacy of ...
Written by Shawn Radcliffe — Updated on April 16, 2020. A year after the release of new guidelines for treating high cholesterol, doctors and patients are still confused about just who needs to take statin drugs. Last fall, the American College of Cardiology (ACC) and the American Heart Association ...
In fact, a recent study in JAMA Internal Medicine found that up to 97 percent of people between the ages of 66 and 90 qualify for statins under the new guidelines and according to the accompanying risk calculator.
Last fall, the American College of Cardiology (ACC) and the American Heart Association (AHA) released new guidelines for the treatment of cholesterol to prevent heart attacks and strokes, amid a continuing rise in the rate of heart disease in the Unit ed States. Though the guidelines were years in the making and have received a large amount ...
One risk factor that isn’t accounted for in the ACC/AHA risk calculator is family history, mainly because it is difficult to translate into a number, although it’s something doctors keep in mind when discussing cholesterol treatment with patients.
people with an LDL level of 190 mg/dL or higher. people between 40 and 75 years of age who have type 2 diabetes. people between 40 and 75 years of age who have a 10-year risk of heart disease that is 7.5 percent or higher. Learn More About Stroke ».
Statins are not without side effects. These include muscle pain, confusion, flushing, and rarely liver damage or memory loss. Statins and Diabetes Risk: What You Need to Know ». The guidelines are clear about which groups of people could benefit most from therapy — both medications like statins and lifestyle changes like eating better ...
Another aspect of the guidelines that has created some confusion is the belief that, because there are no more LDL targets, doctors no longer need to do ongoing monitoring of LDL blood levels after a patient starts taking a statin. This is not the case.
perform a self-examination at the end of each monthly menstrual cycle. A 45-year-old patient with a history of normal Pap smears had a hysterectomy (where her uterus and cervix were removed) for benign reasons. Advise her that: she may choose to stop having Pap smears.
For the pelvic exam and Pap smear, the patient should be in the: lithotomy position. The standard Pap smear test: is prepared by fixing the specimen to a glass slide before it is sent to the laboratory. The physician has collected a specimen from the patient's cervix with a cytobrush and asked you to prepare a glass slide.
When preparing the equipment for a standard Pap smear test, you must: assemble a dry slide and fixative spray, then label the frosted end of the slide with a permanent marker. The physician is about to perform the pelvic exam and Pap smear. The first instrument you pass to the physician will be: a speculum.
The liquid-based Pap test is: more preferred because it reduces the sampling error and the possibility of a false negative result. A 28-year-old woman with a family history of cervical cancer is due for her Pap smear. The physician has decided on a liquid-based Pap test. This test is preferred for this high-risk patient, because it:
The physician will: perform a liquid-based Pap test to reduce the possibility of an inaccurate result. After obtaining verbal consent, and before assisting the patient onto the examination table, you should: ask the patient to empty her bladder.
A 21-year-old woman is nervous about her internal exam and Pap smear. To calm her, you suggest relaxation techniques such as deep breathing exercises: which help relax the abdominal and pelvic muscles and reduce discomfort during the test.
tetracycline may interfere with the Pap smear results, and the test should be rescheduled. A 42-year-old woman who smokes is due for her Pap smear. She should be advised that cigarette smoking: increases the risk of developing cervical cancer.
A 41-year-old female who underwent laparoscopic cholecystectomy. Answer: 3. A 40-year-old woman who smokes and uses oral contraceptives. Rationale: A major risk factor for formation of thrombophlebitis is oral contraceptive use in woman who smoke.
The nurse should advise the client to periodically elevate the legs for at least 15 to 20 minutes. Avoiding foods with iodine or refraining from sexual activity for a week does not relate to venous insufficiency. A nurse is assessing a client's right lower leg, which is wrapped with an elastic bandage.
The patient should not have smoked tobacco or taken caffeine in the 30 minutes preceding the measurement. The patient should rest quietly for 5 minutes before the reading is taken. The cuff bladder should encircle at least 80% of the limb being measured and have a width of at least 40% of limb circumference.
A physician orders blood coagulation tests to evaluate a client's blood-clotting ability. The nurse knows that such tests are important in assessing clients at risk for thrombi, such as those with a history of atrial fibrillation, infective endocarditis, prosthetic heart valves, or myocardial infarction.
As a rule, when the client's systolic blood pressure is below 90 mm Hg, the nurse should delay the dose and notify the physician. Nitroglycerin isn't contraindicated in a client with atrial fibrillation.
Propranolol may be administered as a preventive measure in an infant with tetralogy of Fallot but isn't administered during a tet spell. Furosemide and meperidine aren't appropriate agents for an infant experiencing a tet spell. 32. An infant is diagnosed with patent ductus arteriosus.