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KELOMPOK 3 :
Question 1 :
• LW. is a 53- years old man with LDL-C of 200 mg/dL. he states that the
follows a low saturated fat diet and jogs 2 miles three times a week. He does
not smoke and has no family history of premature CHD. His high BP is
controlled with enalapril 10 mg/day (BP 134/88 mmHg). His fasting glucose
level is 80 mg/dL. He does not have hypothyroidism. His total cholesterol is
261 mg/dL, HDL-C is 45 mg/dL, LDL-C is 200 mg/dL and TG level is 80
mg/dL. No secondary or familial causes of his hypercholesterolemia are
evident, and his physical examination finding are normal. Is LW. a candidate
for cholesterol-lowering drug therapy?
Question 2 & 3 :
• The NCEP recognizes four drug categories for lowering LDL-C :
bile acid resins, cholesterol absorption inhibitors, niacin, and the
statins. Whic of these is preferred to treat LW. ?
• LW.'s provider decides to start therapy with 20 mg/day of
simvastatin. Several days after starting the drug, he played tennis
for the first time in several years. The next morning he
experiences new leg and arm pain. He had been warned that
statins can cause muscle damage. He does not complain of any
other effects since starting the drug. Could this be side effect of
simvastatin? Should he discontinue the therapy?
Question 4,5 & 6 :
Hiperlipid Pasien menyatakan LDL-C : 200 mg/dL (tinggi) Hiperlipid yang diderita Tn
mengikuti diet rendah HDL-C : 45 mg/dL (normal LW. diperkuat dengan
lemak dan jogging 2 mil tiga utk pria) kadar total kolesterol 261
kali seminggu. TG : 80 mg/dL (normal) mg/dL dan nilai LDL yang
Nyeri pada kaki dan lengan Kolesterol total : 261 tinggi yaitu 200 mg/dL.
setelah konsumsi mg/dL Penggunaan simvastatin
simvastatin 20 mg/hari dan Glukosa puasa : 80 mg/dL sudah tepat karena dapat
berolahraga untuk pertama menurunkan kadar LDL dan
kali setelah beberapa waktu meningkatkan kadar HDL
PLAN
• Tekanan darah
• Kadar kolesterol total, LDL, HDL dan TG
KIE