Nursing and Interprofessional care: Chronic Artery Disease

  • Nursing and Interprofessional care: Chronic Artery Disease
    • Nutritional therapy
      • Decrease saturated fats and cholesterol
      • Increase complex carbohydrates and fiber
      • Increase red meat, egg yolks, whole milk
      • Increase omega-3 fatty acids
        • Strong scientific evidence for reduction of triglyceride levels
    • Lipid-lowering drug therapy
      • If diet and exercise ineffective
      • Statins
        • Inhibit cholesterol synthesis, decrease LDL, increase HDL
        • Monitor for liver damage and myopathy
      • Niacin
        • Lowers LDL and triglyceride by inhibiting synthesis
        • Increases HDL
        • Flushing, pruritus, GI side effects, orthostatic hypotension
      • Fibric acid derivatives (Lopid)
        • Decrease triglycerides and increase HDL
        • GI side effects
    • Increase lipoprotein removal
      • Bile acid sequestrants
        • Increase conversion of cholesterol to bile acids
        • GI side effects; bind with other drugs
      • Decrease cholesterol absorption
        • Ezetimibe (Zetia)
          • Decrease absorption of dietary and biliary cholesterol
    • Antiplatelet therapy
      • ASA
      • Clopidogrel (Plavix)