Beruflich Dokumente
Kultur Dokumente
• Lipoprotein Profile
Includes:
Total Cholesterol
LDL Cholesterol
HDL Cholesterol
Triglycerides
• What is the Recommended Level?
The National Cholesterol Education Program recommends…
• Physical Activity
• Weight Loss
• Medication
• Eating Healthy
• Improving Fats
– Shortening
– Stick butter/margarine
– Excess fat on meats
• Substitute liquid or soft fats “Heart-Healthy Fats”
• Monounsaturated oils
– Olive, Canola, Peanut oil
• Triglycerides
– Moderate activity
• Weight Management
– LDL
– Triglycerides
– HDL
• Medication
• Points to Remember
• Eat plenty of fruits and vegetables, whole grains, low-fat dairy products, and less fat and
cholesterol.
• Exercise regularly
• Talk with your doctor about medicine if lifestyle changes aren’t enough
• CHOLESTEROL TESTS
• 2 GENERAL REACTIONS
• ENZYMATIC METHOD
• OTHER METHODS
• CLINICAL SIGNIFICANCE
– Hypothyroidism
– Atherosclerosis
– Myocardial Infarction
– Diabetes Mellitus
– During Pregnancy
– Obstructive Jaundice
– Familial Hypercholesterolemia
– Hypertension
– Obesity
• SOURCES OF ERRORS
• Presence of hemolysis
• Anticoagulated blood
• TRIGLYCERIDES
• are esters of fatty acids and are hydrolyzed to glycerol and free fatty acids.
• PRINCIPLE
• Enzymatic reaction
• OTHER TESTS
• SPECIMEN
• Fresh, clear, non-hemolyzed serum from fasting patients (12 – 14 hrs) is recommended.
• TAG in serum appear stable for three days when stored at 2-8 ̊ C.
• Blood collection devices lubricated with glycerin (glycerol) should not be used.
• CLINICAL SIGNIFICANCE
– Atherema
– Atherosclerosis
– Hypertension
– Coronary Artery Disease
– Diabetes Mellitus
– Hypothyroidism
• SOURCES OF ERROR
• CONVERSION FACTORS
• Glucose – 0.0555
• Cholesterol – 0.0258
• Triglycerides – 0.1128
• PRINCIPLE
• Based on the reaction of diacetyl monoxime to form a colored complex which absorbs at
520 nm. The diacetyl monoxime and acid form the unstable compound diacteyl, which is
the actual substance reacting with urea.
• BERTHELOT’S REACTION
• In Berthelot’s reaction, catalysts such as nitroprusside are added to facilitate the conversion
of ammonia to indophenol.
• NORMAL VALUES
• 8 – 20 mgs %
• CLINICAL SIGNIFICANCE
• Increased BUN
• SOURCES OF ERROR