Lipid Screening in Adults

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Source: Institute for Clinical Systems Improvement (ICSI). Lipid screening in adults. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2004 June. 18 p Lipid Screening in Adults General awareness activities. A Health care encounter. A Age/gender criteria. AD Males over age 34 or Females over age 44 Males 20-34 or Females 20-44 Male or female less than 20 Patient/provider discussion. AD Refer to ICSI Lipid Screening in Children and Adolescents guideline Screening criteria met? AD Proceed with screening? *Measure cholesterol fractionation. *If probability of a return visit is low and patient is not fasting, consider checking total cholesterol and HDL-cholesterol.  If available, also consider measuring direct LDL-cholesterol. *Nutrition and exercise assessment in accordance with the ICSI Preventive Counseling and Education guideline. Screening Criteria -Age of 20 years and over. -No known dyslipidemia, CHD, CVD, PVD or diabetes. -No other clinical situations in which the knowledge of lipid profile is non-contributory such as terminal cancer. Total cholesterol greater than or equal to 200; LDL greater than or equal to 130; HDL less than 40 or triglycerides greater than or equal to 200? A Refer to ICSI Lipid Management in Adults guideline. A A = Annotation. D = Discussion. All copyrights are reserved by the Institute for Clinical Systems Improvement, Inc.