Ok those are normal loads. I just wanted to be sure because some users have had unwanted malware installed that would pull systems(cpu or video card and maybe even both at times) into a mining ring to make money for the designer of said malware.
I guess if the heatsink and fan are clean, it is time to get some thermal paste/ isopropyl alcohol(Drug stores and many grocery stores have it) / and q tips(coffee filters clean old paste good as well).
-Remove the cooler with the 4 screws around the GPU section(normally right above the PCI-E slot connector). cards with custom coolers may have more screws so keep an eye out for this.
-Clean the GPU and heatsink contact area with the alcohol and q tips/coffee filters.
- Apply fresh paste to the GPU die. Some users place a small blob while others will use a straight edge like a razor blade or cleaned credit(clean it with the alcohol) card to spread an even layer.
In general thin coats are better, but depending on the heatsink(how perfectly flat it is) sometimes a bit thicker will be better. By thicker I am talking maybe as thick as a heavy sheet of paper so nothing too thick. Too much paste can lead to higher temperatures while too little can lead to air gaps and temperature issues as well.
You may notice the card has a HUGE pile of paste, this is how they do it at the factory(large blob and slap the cooler on). Just try to clean it up as well as you can(take care with the small parts around the die, an old soft tooth brush dipped in alcohol may make gentle cleaning around the die a bit more easy.). Around the die does not have to be perfect since the paste they use should not conduct, but the die should be as clean as possible(and that is not hard to do).