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Sildenafil (Viagra®) has two actions that may be of consequence in patients with heart disease. It can lower the blood pressure, and it can interact with nitrates. It should never be used in patients who are taking nitrates.
Vital signs (blood pressure, temperature, pulse rate, respiration rate) should be taken before any drug administration. Patients should be informed not to use tobacco or caffeine at least 30 minutes before their appointment.
Increased intake of vitamin D has been shown to reduce fractures up to 25% in older people.
Eat fiber! A diet high in fiber can help lower cholesterol levels by as much as 10%.
The U.S. Preventive Services Task Force recommends that all women age 65 years of age or older should be screened with bone densitometry.