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Triglycerides Testing

Definiton
Serum triglyceride touchstoneing provides adventitious partition of triglycerides, the main storage shape of lipids, which depute environing 95% of fatty structure. Although not in itself cue, serum triglyceride partition permits forthcoming identification of hyperlipidemia (personality in nephrotic syndrome and other stipulations) and inclination of the induce of coronary artery illness (CAD).
Purpose
  • To defend for hyperlipidemia or pancreatitis.
  • To acceleration demonstrate nephrotic syndrome and unwell inferior diabetes mellitus.
  • To assess coronary artery illness (CAD) induce
  • To estimate the lower-density lipoprotein cholesterol plane using the Friedewald equation.
Procedure
Preparation
  1. Explain to the enduring that the triglyceride touchstone is used to unmask fat metabolism disorders.
  2. Tell the enduring that the touchstone requires a rank pattern.
  3. Explain who achieve pershape the veniterebrate and when.
  4. Notify the laboratory and physician of drugs the enduring is induction that may influence the touchstone results; it may be needful to bind them.
  5. Instruct the enduring to wild at lowest 12 hours antecedently the touchstone and leave-off from alcohol for 24 hours. Tell him that he may drain impart.
  6. Explain to the enduring that he may knowledge contempt vexation from the tourniquet and the needle terebrate.
Implementation
  1. Pershape a veniterebrate and collate the pattern in a 4-ml ethylenediaminetetraecetic pungent tube.
  2. Send the pattern to the laboratory externally-delay.
  3. Avoid prolonged venous occlusion; depart the tourniquet amid 1 microscopic of contact.
Nursing Interventions
  1. Apply frequented influence to the veniterebrate condition until bleeding stops.
  2. If a hematoma develops at the veniterebrate condition, remain frequented influence.
  3. Tell that enduring that he may renew his accustomed cheer and medication that was discontinued antecedently the touchstone, as ordered.
Interpretation
Normal Results
  • Varying planes, depending on age and sex
  • In men, 44 to 180 mg/dl (SI, 0.44 to 2.01 mmol/L)
  • In women, 10 to 190 mg/dl (SI, 0.11 to 2.21 mmol/L)
Abnormal Results
  • An extensiond or decreased serum triglycerides plane is abnormal; appended touchstones are required for a enacted speciality.
  • A steady to steady extension in serum triglyceride planes indicates biliary obstacle, diabetes mellitus, nephrotic syndrome, or balance lessening of alcohol.
  • Markedly extensiond planes externally an identifiable principle advert innate hyperlipoproteinemia and coerce lipoprotein phenotyping to fix the speciality.
  • Decresed serum triglyceride planes are worthy and befall primarily in malnutrition and abetalipoproteinemia.
Interfering Factors
  • Failure to behold pretouchstone bindions
  • Use of glycol-lubricated collateion tube
  • Failure to cast the pattern to the laboratory externally-delay.
  • Antilipenics (decresed serum planes)
  • Cholestyramine and colestipol (decreased cholesterol planes but extensiond or real triglycerides.
  • Corticosteroids (desire opportunity use)
  • Clofibrate ( decreased cholesterol and triglycerides planes)
  • Probucol ( decresed cholesterol planes but mutable chattels on triglycerides planes).
Precautions
  • Avoid prolonged venous occlusion; depart the tourniquet amid 1 microscopic of contact.

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