[NPInfo] Cholesterol

[pattinp at verizon.net]

I would recommend ordering the VAP or NMR Lipid panels. These break down both the HDL and LDL into a particle count for the specific lipoproteins which then lets you know whether or not the LDL number is of concern. This patient most likely has a genetic lipid disorder which is why her HDL is so high. Lipidologists use these tests in evaluating patient response to treatment.

Patti Robertson


>From: VENDESUE at aol.com
>Date: 2008/06/18 Wed AM 07:31:49 CDT
>To: npinfo at nurse.net
>Subject: Re: [NPInfo] Cholesterol

>Listers,
> 
>Thanks for your input!  Her HDL is terrific (which contributes to her high 
>total cholesterol) but the concern is the LDL and the non-HDL (at 189).   I have 
>always considered a high HDL very protective, too (and it is)... until I have 
>attended some CME classes that have stressed the importance of the non-HDL, 
>even in the situation when the HDL is high. How are you using non-HDL?  
> 
>My plan was (is) to send her to a dietician and repeat the lipid panel in 6 
>months (she is a pharmacist so is pretty aware of treatments).  I will repeat 
>her CBC in a month or so.  
> 
>Thanks for your input!
> 
>Susan
>
>
>
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