If the patient PTT lab level is too long and greater than 80 seconds, the nurse should notify the doctor.
Which doctor’s order should the nurse anticipate?

HDL stands for high-density lipoprotein, which is a type of cholesterol that carries excess cholesterol from other parts of the body to the liver, where it can be removed.

HDL is sometimes called “good” cholesterol because it helps protect against heart disease.Having high HDL levels is not a characteristic of metabolic syndrome, but rather a protective factor.

Metabolic syndrome is a group of conditions that increase the risk of heart disease, stroke, and type 2 diabetes.These conditions include:

• Low HDLs (choice A): Having low levels of HDL cholesterol is a risk factor for metabolic syndrome, as it means there is less “good” cholesterol to remove excess cholesterol from the blood vessels.

• Type II diabetes mellitus (choice B): This is a condition where the body does not use insulin properly, leading to high blood sugar levels.

Insulin is a hormone that helps the cells take up glucose from the blood.

Insulin resistance is a key feature of metabolic syndrome.

• Hypertension (choice C): This means having high blood pressure, which can damage the heart and blood vessels over time.

High blood pressure is often associated with obesity and insulin resistance, which are common in metabolic syndrome.

• Abdominal obesity (choice E): This means having excess fat around the waist and trunk, also known as central or visceral obesity.

This type of fat is more harmful than fat in other parts of the body, as it can release inflammatory substances that affect the metabolism and increase the risk of cardiovascular disease.

• Hyperglycemia (choice F): This means having high blood sugar levels, which can damage the blood vessels and organs over time.

Hyperglycemia can result from insulin resistance or type 2 diabetes, which are both components of metabolic syndrome.

The normal ranges for some of these conditions are:

• HDL cholesterol: more than 40 mg/dL for men and more than 50 mg/dL for women

• Blood pressure: less than 120/80 mmHg

• Blood sugar: less than 100 mg/dL after fasting or less than 140 mg/dL two hours after eating

• Waist circumference: less than 40 inches for men and less than 35 inches for women

Phenazopyridine hydrochloride (Pyridium) is a urinary tract analgesic that can relieve the pain, burning, and discomfort caused by infection or irritation of the urinary tract.However, it can also cause some side effects, one of which is changing the color of bodily secretions to reddish orange. This is due to the excretion of the drug in the urine, saliva, sweat, and tears.The color change is harmless and usually disappears when the drug is stopped.

Choice A is wrong because phenazopyridine does not change bodily secretions to alkaline.In fact, it may interfere with the urine test that measures acidity (pH) and glucose.

Choice B is wrong because phenazopyridine does not change bodily secretions to pinkish.However, some other drugs, such as rifampin and doxorubicin, may cause urine to turn red or pink.

Choice D is wrong because phenazopyridine does not change bodily secretions to black.However, some other drugs, such as metronidazole and nitrofurantoin, may cause urine to turn brown or dark yellow.

Some other common side effects of phenazopyridine include headache, dizziness, indigestion, and stomach pain.Some serious side effects include skin itching, interference with the oxygen-carrying capacity of red blood cells, hemolytic anemia, and renal and hepatic toxicity.

These problems are more common in people who have existing kidney problems or take more than recommended.If you experience any of these symptoms, stop taking phenazopyridine hydrochloride and talk to a healthcare provider right away.