PREVENTION. Assess the patient's understanding of the relationship between dietary intake of potassium-containing foods and supplements and hyperkalemia. Discuss strategies to improve or eliminate those factors that are leading to elevated potassium levels. Have the patient describe the changes in diet or home care that are necessary to prevent recurrence. For example, what could be done to assure potassium supplements are taken as prescribed?
MEDICATIONS. Evaluate the patient's understanding of the appropriate use of potassium supplements and salt substitutes.
DRG Category: 299 Mean LOS: 4.3 days Description: MEDICAL: Inborn Errors of Metabolism
I I yperlipoproteinemia is a condition of increased lipids (fats) in the blood that has been caused by an increased rate of synthesis or a decreased rate of lipoprotein breakdown. Because lipopro-teins transport triglycerides and cholesterol in the plasma, an increased level may cause pancreatitis and atherosclerosis.
Lipids are a mixed group of biochemical substances that are manufactured by the body or are derived from metabolism of ingested substances. The plasma lipids (cholesterols, triglycerides, phospholipids, and free fatty acids) are derived from dietary sources and lipid synthesis. Cholesterol and triglycerides are implicated in atherogenesis.
Hyperlipidemia, an elevation of serum cholesterol or triglycerides, can be primary or secondary to another underlying condition. Lipoprotein elevation, or hyperlipoproteinemia, is described by five specific types: types I, II, III, IV, and V (Table 3).
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