13. Mr. H. is a 46-year-old business executive who trav- els frequently. He is s

Question

13. Mr. H. is a 46-year-old business executive who trav- els frequently. He is slightly overweight "from all that room service," but he did quit smoking 6 years ago. He has no history of coronary heart disease (CHD) or any family history of CHD. During a routine checkup, Mr. H. is found to have an LDL cholesterol level of 170 mg/dL. He says, "I'm a busy man! Just give me some pills. I've got a plane to catch!" Will the physician prescribe an antilipe- mic for Mr. H.? Explain your answer. 14. Mrs. K. has been treated with cholestyramine (Questran) for type Ila hyperlipidemia for the past 2 months. She tells the nurse that she "can't stand being so irregular" and that she has developed an- other "embarrassing problem" as well. What does the nurse suspect is wrong with Mrs. K., and how can the nurse help her?

Explanation / Answer

13 Ans.

Being a physician i would recommend medicine directly just after seeing his LDL level. Review his past and present medical history, other labs and his life style. If he has to go urgently aloow him to go and ask to make an appoint for video call based on both doctr and patient availablity, orelse if he can wait explain him about life style modification to reduce weight and then prescribe medicine.

14Ans.

For few people Cholestyramine may cause diarrhea, stomach pain and all may be that causes Mrs. K feels embarrassing. the nurse can suspect that Mrs. K has not able to tolerating this drug so, need to change the drug like atorvastatin and give psychological support and encourage her to develop coping level.

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