Bless you for this. In NP school and in clinical and trying to get my bearings. Its so hard. You make it make a little more sense. So thankful for you.
@RealWorldNP11 ай бұрын
You are so welcome.
@queenaura14 жыл бұрын
What a wonderful breakdown of screening and treatment!
@RealWorldNP4 жыл бұрын
Glad you enjoyed it.
@chinaricanbeast5228 Жыл бұрын
I like these Case Studies, thanks Liz! : )
@RealWorldNP Жыл бұрын
You're so welcome!
@PrincessAisha20064 жыл бұрын
Great video Liz. What do we do for patients under 40, who we can’t calculate Asvcd risk on? And childbearing women who statin therapy may be harmful?
@RealWorldNP4 жыл бұрын
Awesome questions!! Thank you so much. Excellent point about childbearing women. It's so important to be cautious about medications that can be teratogenic, and I recommend it be a frank conversation with patients, but we don't necessarily withhold them altogether UNLESS they are trying to conceive. I.E. Acutane -- plenty of women of childbearing age take this medication, we just have a conversation about the risks of teratogenicity and advise reliable contraception (using tiered recommendations, LARCs first, then the less effective, etc etc.). That said, if someone is high risk for unintentional pregnancy, in my personal practice I'd advise them that I don't recommend taking it. Another thought is that it's all about the long term risk -- the effects over the course of 10 years, so if they are seeking pregnancy, it's not necessarily going to be harmful to NOT take a statin for that year + where they are pregnant/breastfeeding, etc. Also, if they need statins, they are likely high risk pregnancies anyway, and I tend to rely on maternal fetal medicine team for support around medication decision making (because they likely have DM , HTN, or smoke to put them in a statin-qualifying category). Under 40, it's a bit of a complicated discussion -- has to do with: is it familial? Is it because of DM 1 or 2? Is it dietary? Typically I always start with identifiable causes (DM, obesity, lifestyle) and take it from there if it's still high-- it's not super common, I'd recommend consulting with your supervisor if it comes up (I do!!)
@burgerwolfrn41913 жыл бұрын
This is great! Thank you!
@RealWorldNP3 жыл бұрын
You're very welcome!
@Mafor44032 жыл бұрын
I can’t thank you enough
@RealWorldNP2 жыл бұрын
I am glad it's helpful!
@carterri04 Жыл бұрын
LDL is only a significant factor for risk assessment for coronary disease if Trigs are high and HDL is low. I thought everybody knew this by now.
@RealWorldNP Жыл бұрын
Thanks for your feedback.
@knoelleh Жыл бұрын
Hi Liz - this is great! Do you have a cheat sheet available for the highlights that are listed towards the end of this video? I do have the binder and I am in the lab course - just started.
@RealWorldNP Жыл бұрын
Hi there! There is a ton of resources in the lab course under lipids.
@ariasanders78343 жыл бұрын
Am I missing something, if LDL is the most important why do you not plug it into the risk calculator? I have been neglecting LDL this whole time. 🤦🏻♀️
@ariasanders78343 жыл бұрын
I have been using a risk calculator that doesn’t ask for LDL.
@RealWorldNP3 жыл бұрын
Hmm, this is the risk calculator that I use, I'd argue the LDL is the MOST important! tools.acc.org/ASCVD-Risk-Estimator-Plus/
@leticiab5033 жыл бұрын
Hi, enjoyed watching. Do you ever take patient's off statins? I meet a patient that apparently their provider took off statin therapy? How do you go about that ? Also, I wanted to say, i havent been able to receive the guide ? thanks
@RealWorldNP3 жыл бұрын
Hey! For the guide, you can go to realworldnp.com/guide, and if it's still not working, send an email to support@realworldnp.com The main reason to remove a statin is risk/benefit -- they're having severe side effects, or their life expectancy and risk of side effects is supportive of continued use! It depends on the person but typically those are lifelong aside from when you're thinking about taking off of medications related to life expectancy
@leticiab5033 жыл бұрын
@@RealWorldNP that’s what I thought I was really wondering on the reasons for taking someone off the medication as this person suggested ? Thanks a lot I will send an email now . Haven’t been able to get it
@nastya79883 жыл бұрын
This is great! Are there any phone apps that you would recommend for NPs?
@RealWorldNP3 жыл бұрын
Yes!! I've got a whole bunch in the free resource guide: realworldnp.com/guide