You enter R.M.'s room and hear the physician say, There are many ...

[sabina]

You enter R.M.'s room and hear the physician say, There are many options for changing your LDL and triglyceride levels. You need to continue modifying your diet and exercise to enhance your medication regimen.
 
  The physician asks R.M. whether he has any questions, and the patient responds, No.
 
  After the physician leaves the room, R.M. tells you he really didn't understand what the
  physician said. Explain the necessary lifestyle changes to R.M.

Question 2

R.M. tells you that he really does not want to put up with the side effects of the niacin.
 
  Is there an alternative to niacin?

[yifu223]

Answer to Question 1

The medications and vitamins will help change the dangerous type of fat to one that is not as bad,
but you have to eat a low-fat diet and exercise to lower your risk factors. In addition, your diet is
high in refined carbohydrates, such as products made with white flour; these will cause an increase
in triglycerides. A diet high in fiber, omega-3 fatty acids, and complex carbohydrates, such as whole
grains, fruits, and vegetables, can help to reduce the risks of coronary artery disease (CAD). If you
don't change your lifestyle, you run the risk of your stent blocking off again, and you could have a
heart attack. In addition, you should try to stop smoking all together, and there are several options
available to help with this.

Answer to Question 2

Taking aspirin or a nonsteroidal anti-inflammatory drug (NSAID) 30 minutes before the niacin dose
may help to reduce side effects. There are extended-release forms of niacin that may cause fewer
side effects.