Mrs. Smith is a 62-year-old, postmenopausal, female. She is a Caucasian, non- smoker, weighing 120 pounds with a height

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Mrs. Smith is a 62-year-old, postmenopausal, female. She is a
Caucasian, non-
smoker, weighing 120 pounds with a height of 5 foot 2 inches.
Fasting blood
samples were collected on 10/12/2018 and most recently on
4/15/2019.
1. Enter the latest results into the flow chart below.
04/15/2019:
CHOLESTEROL (
181
)
TRIGLYCERIDES (
60
)
HDL (
64
)
CHOL/HDL (
208)
LDL (
105)
2. Using the example as a guide, calculate the % change for the
four remaining
tests.
CHOL
LDL Cholesterol Level
< 200 is desirable
<100 optimal
200-239 Borderline
100-129 near optimal
< 240 is HIGH
130-159 borderline HIGH
160-189 HIGH
190 and above VERY HIGH
Continue to answer the remaining questions.
A
B
Mg/dL
10/12/18
04/15/19
% Change
Ref Range
A-B/A=RATIO X 100 = % CHANGE
150-240
CHOLESTEROL
263
236 -1 81 = 82/263 = -0.31 X 100 = -31%
30-200
TRIGLYCERIDES
81
32-96
HDL
53
0.0-5.0
CHOL/HDL
5
10-129
LDL
194
2
AHM 106 Coronary Heart Disease (CCHD) Risk Assessment
3. Which lab results from 10/12/18 are considered too high?
4. Which results changed to acceptable after six months?
5. What is your conclusion about the patient’s diet and health
Statius on
04/15/2019?
6. Based on the table below, what is Mrs. Smith’s risk of
developing Coronary
Health Disease?
CHOL/HDL RATIO
RISK
female
male
0.5 average
3.3
3.4
average
4.4
5
2X average
7
9.5
3X average
11
24
7. After the doctor reviewed the results with the patient, he
asks you to go
over the diet he prescribed for Mrs. Smith and to stress the
importance of
“sticking to the plan”. a) What types of food would you coach
the patient
to avoid? b) What foods would you recommend she increase in her
diet?
a.
b.
2
AHM 106 Coronary Heart Disease (CCHD) Risk Assessment
3. Which lab results from 10/12/18 are considered too high?
4. Which results changed to acceptable after six months?
5. What is your conclusion about the patient’s diet and health
Statius on
04/15/2019?
6. Based on the table below, what is Mrs. Smith’s risk of
developing Coronary
Health Disease?