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PVD part 1 (Atherosclerosis (Fatty plaque build up., Empairs and narrowing…

- - - - LDL (Bad): Male and Female below 130. Moderate risk 130-159, High risk 160-189, VERY high risk anything above 190. People who have cardiovascular disease and diabetes needs to be below 70.
        
        Triyglycride: Male below 160, Female below 135
        
        Clinical CRP (C-reactive protein): 0-10 mg/dL Hospital setting CRP 0-3 low risk less than 0.1, Moderate risk 1.0-3.0, High risk greater than 3.0. happens smoking, athlerserclosis, infection in the body, metabolic syndrome, obesisty. Decreases with exercise, weight loss, medication(Statins)
- - - - Diet , low fat low chloseterol dieat 30% fats and less then 10% saturated fats step 1. Step 2 saturated fats less than 7%, less than 300 a day.
        
        Smoking: senstation nicotine is highly addictive, causes vasoconstriction, Lowers are HDL (good cholesterol)
        
        Exercise Increase HDL (Good cholesterol H-Heaven), A negative risk factors.
        
        Weight Reduction: Increase cholesterol levels, talk about exercise and diet, helps build colloterall circulation (circulation builds up around the problem),
- - - - Side effecfs: Neausosa, constiation,diarrhea, leg cramps, hepatl toxicity (Liver damage, Myopathy (Muscle pain_ COntrindicated in pregnacy, When giving statins check liver enzymes (ALT 7-56 International units per L), AST 4-40 International Units/ L, ALP 30-120 International Units/L. DO NOT DRINK GRAPEFRUIT JUICE (Increases the level of the drug).