Lipids and Lipoproteins in Clinical Chemistry

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Questions and Answers

What is the recommended fasting period before venipuncture for measuring Total Cholesterol (TC) and High-Density Lipoproteins (HDL-C) levels?

  • 8 hours
  • 6 hours
  • 12 hours (correct)
  • 24 hours

Which lipoproteins can be measured in non-fasting individuals?

  • Triglycerides (TAG)
  • Total Cholesterol (TC)
  • Low-Density Lipoproteins (LDL-C)
  • High-Density Lipoproteins (HDL-C) (correct)

What percentage decrease in Triglycerides (TAG) is observed from upright to supine position?

  • 10%
  • 50% (correct)
  • 75%
  • 25%

What causes hemoconcentration, as mentioned in the text?

<p>Squeezing or probing a vein excessively (D)</p> Signup and view all the answers

According to the National Cholesterol Education Program (NCEP), how long should patients be seated prior to venipuncture?

<p>5 minutes (C)</p> Signup and view all the answers

What is the recommended fasting period before venipuncture for measuring Triglycerides (TAG) and Low-Density Lipoproteins (LDL-C) levels?

<p>At least 12 hours (C)</p> Signup and view all the answers

What effect does estrogen have on lipoproteins?

<p>Increases HDL and decreases LDL (A)</p> Signup and view all the answers

Which lipoproteins can be measured in non-fasting individuals?

<p>Total Cholesterol (TC) and High-Density Lipoproteins (HDL-C) (A)</p> Signup and view all the answers

What effect do postural changes have on Triglycerides (TAG)?

<p>Decrease by almost 50% from upright to supine position (A)</p> Signup and view all the answers

What should not be applied for longer than a minute or two, if possible, according to the text?

<p>Tourniquets (B)</p> Signup and view all the answers

Flashcards

Fasting for TC and HDL-C

The recommended fasting period before a blood test to measure total cholesterol (TC) and high-density lipoprotein (HDL-C) levels is 12 hours.

HDL-C measurement

High-density lipoprotein (HDL-C) levels can be measured even without fasting before a blood test.

Triglycerides and Posture

Triglyceride levels can be measured without fasting. However, it's important to note that the triglyceride levels decrease significantly by almost 50% when a person goes from an upright to supine position.

Hemoconcentration

Squeezing or excessive probing of a vein during blood collection can lead to hemoconcentration. This is because it forces fluid out of the blood vessels, concentrating the blood components like red blood cells.

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NCEP Seated Time

The National Cholesterol Education Program (NCEP) recommends that patients sit for at least 5 minutes before a blood test to ensure accurate lipid measurements.

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Fasting for TAG and LDL-C

The recommended fasting period before a blood test to measure triglycerides (TAG) and low-density lipoprotein (LDL-C) levels is at least 12 hours.

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Estrogen and Lipoproteins

Estrogen, a female sex hormone, can have significant effects on lipoprotein levels. It increases the levels of high-density lipoprotein (HDL) and decreases the levels of low-density lipoprotein (LDL).

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Non-Fasting Lipids

Total cholesterol (TC) and high-density lipoprotein (HDL-C) levels can be measured without fasting before a blood test.

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Postural Effects on TAG

Postural changes, specifically going from an upright to a supine position, can decrease triglyceride (TAG) levels by almost 50%.

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Tourniquet Duration

Tourniquets should not be applied for longer than a minute or two, if possible, to avoid errors in blood collection and potential discomfort for the patient.

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Study Notes

Lipids and Lipoproteins

  • Lipids and lipoproteins are important indicators of coronary heart disease (CHD) risk.
  • The lipid profile recommended for initial screening in adults (age 20 or older) includes:
    • Total Cholesterol (TC)
    • Low-Density Lipoprotein (LDL)
    • High-Density Lipoprotein (HDL)
    • Triglycerides (TAG)
  • Testing should be repeated at least once every 5 years.

Major Forms of Lipids

  • Triglycerides: main storage form of lipid in humans.
  • Cholesterol: part of the cell membrane; parent chain for cholesterol-based hormones (e.g. aldosterone, cortisol, sex hormones).
  • Phospholipids: most abundant lipid in humans.
  • Fatty Acids: building blocks of lipids.
  • Fat Soluble Vitamins: A, D, E, and K.

Blood Sampling and Storage

  • Individuals should be on their usual diet for 2 weeks and be neither gaining nor losing weight prior to cholesterol measurement.
  • Effects of dietary modification take several weeks to become apparent.
  • Certain drugs, such as oral contraceptives, postmenopausal estrogens, and some antihypertensive drugs, significantly alter lipid levels.

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