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Florence, 58 years old, has been healthy all of her adult life until recently. Two months ago she had her gallbladder removed for an acute gallstone attack; this was her first surgery. She was told this week by her physician that she has high cholesterol and needs to pursue dietary treatment for six weeks. At the end of six weeks, her cholesterol will be re-tested and her physician will make a decision regarding the possible prescription of lipid-lowering medications. Florence is very disappointed by this second health concern in such a short amount of time. She is 30 pounds lighter than she was last year, when her cholesterol was normal. Both of her parents passed away from vascular diseases. For exercise, Florence attends resistance training classes three times a week and she is starting to do cardio exercise (walking). Currently Florence is 5' 8.25" and weighs 203#. Her waist circumference is 38.5". Her most recent labs were: total cholesterol = 252 mg/dL, LDL cholesterol = 166 mg/dL, HDL cholesterol = 40 mg/dL, triglycerides= 133 mg/dL. She expresses the need to get better as she is the primary caregiver for an adult son with schizophrenia and her husband, who is ill with complications from diabetes. Her food recall shows a limited intake of fruits and vegetables, approximately 15 grams of fiber daily, limited dairy intake, and frequent consumption of foods high in saturated fat. Questions: 1. What is Florence's BMI? Is her BMI considered underweight, normal, obese or severely obese? 2. What risk factors for coronary heart disease (CHD) are present in this case? 3. List dietary recommendations to assist her with lowering her cholesterol levels and reducing her risk for CHD.

Florence, 58 years old, has been healthy all of her adult life until recently. Two months ago she had her gallbladder removed for an acute gallstone attack; this was her first surgery. She was told this week by her physician that she has high cholesterol and needs to pursue dietary treatment for six weeks. At the end of six weeks, her cholesterol will be re-tested and her physician will make a decision regarding the possible prescription of lipid-lowering medications. Florence is very disappointed by this second health concern in such a short amount of time. She is 30 pounds lighter than she was last year, when her cholesterol was normal. Both of her parents passed away from vascular diseases. For exercise, Florence attends resistance training classes three times a week and she is starting to do cardio exercise (walking). Currently Florence is 5' 8.25" and weighs 203#. Her waist circumference is 38.5". Her most recent labs were: total cholesterol = 252 mg/dL, LDL cholesterol = 166 mg/dL, HDL cholesterol = 40 mg/dL, triglycerides= 133 mg/dL. She expresses the need to get better as she is the primary caregiver for an adult son with schizophrenia and her husband, who is ill with complications from diabetes. Her food recall shows a limited intake of fruits and vegetables, approximately 15 grams of fiber daily, limited dairy intake, and frequent consumption of foods high in saturated fat. Questions: 1. What is Florence's BMI? Is her BMI considered underweight, normal, obese or severely obese? 2. What risk factors for coronary heart disease (CHD) are present in this case? 3. List dietary recommendations to assist her with lowering her cholesterol levels and reducing her risk for CHD.

Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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Florence, 58 years old, has been healthy all of her adult life until recently. Two months ago she had her gallbladder removed for an acute gallstone attack; this was her first surgery. She was told this week by her physician that she has high cholesterol and needs to pursue dietary treatment for six weeks. At the end of six weeks, her cholesterol will be re-tested and her physician will make a decision regarding the possible prescription of lipid-lowering medications. Florence is very disappointed by this second health concern in such a short amount of time. She is 30 pounds lighter than she was last year, when her cholesterol was normal. Both of her parents passed away from vascular diseases. For exercise, Florence attends resistance training classes three times a week and she is starting to do cardio exercise (walking). Currently Florence is 5' 8.25" and weighs 203#. Her waist circumference is 38.5". Her most recent labs were: total cholesterol = 252 mg/dL, LDL cholesterol = 166 mg/dL, HDL cholesterol = 40 mg/dL, triglycerides = 133 mg/dL. She expresses the need to get better as she is the primary caregiver for an adult son with schizophrenia and her husband, who is ill with complications from diabetes. Her food recall shows a limited intake of fruits and vegetables, approximately 15 grams of fiber daily, limited dairy intake, and frequent consumption of foods high in saturated fat. Questions: 1. What is Florence's BMI? Is her BMI considered underweight, normal, obese or severely obese? 2. What risk factors for coronary heart disease (CHD) are present in this case? 3. List dietary recommendations to assist her with lowering her cholesterol levels and reducing her risk for CHD.
Transcribed Image Text:Florence, 58 years old, has been healthy all of her adult life until recently. Two months ago she had her gallbladder removed for an acute gallstone attack; this was her first surgery. She was told this week by her physician that she has high cholesterol and needs to pursue dietary treatment for six weeks. At the end of six weeks, her cholesterol will be re-tested and her physician will make a decision regarding the possible prescription of lipid-lowering medications. Florence is very disappointed by this second health concern in such a short amount of time. She is 30 pounds lighter than she was last year, when her cholesterol was normal. Both of her parents passed away from vascular diseases. For exercise, Florence attends resistance training classes three times a week and she is starting to do cardio exercise (walking). Currently Florence is 5' 8.25" and weighs 203#. Her waist circumference is 38.5". Her most recent labs were: total cholesterol = 252 mg/dL, LDL cholesterol = 166 mg/dL, HDL cholesterol = 40 mg/dL, triglycerides = 133 mg/dL. She expresses the need to get better as she is the primary caregiver for an adult son with schizophrenia and her husband, who is ill with complications from diabetes. Her food recall shows a limited intake of fruits and vegetables, approximately 15 grams of fiber daily, limited dairy intake, and frequent consumption of foods high in saturated fat. Questions: 1. What is Florence's BMI? Is her BMI considered underweight, normal, obese or severely obese? 2. What risk factors for coronary heart disease (CHD) are present in this case? 3. List dietary recommendations to assist her with lowering her cholesterol levels and reducing her risk for CHD.
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