1. The client/caregiver can define the classifications of cardiac and circulatory medications.
   1. Antihypertensive drugs are used to lower blood pressure to a normal level.
   2. Antianginal drugs are used to treat and prevent attacks of chest pain (angina).
   3. Antiarrhythmic drugs are used to correct cardiac arrhythmias (irregular heartbeats).
2. The client/caregiver can describe the desired results of each type of medication.
   1. The effective use of antihypertensives will result in decreased blood pressure to normal levels.
   2. Antianginal agents should decrease the frequency and severity of any chest pain. The client should be able to increase their level of activity without chest pain.
   3. Antiarrhythmic drug therapy should resolve the arrhythmia without untoward side effects from medication.
3. The client/caregiver can list important assessments and evaluations for cardiac medications.
   1. Monitor blood pressure and pulse at regular times. Blood pressure and pulse should be taken weekly, and any significant changes should be reported to the physician.
   2. Teach client/caregiver how to take pulse to monitor rate and rhythm. Report any pulse rate below 50 or above 120 to the physician, and ask for directions on whether to take medication.
   3. Instruct the client to take medication as prescribed.
   4. Advise the client to report to a physician before taking any supplements or over-the-counter medications.
   5. Caution client/caregiver to monitor for any signs of dizziness or lightheadedness when moving to a standing position.
   6. Monitor supply, and refill medications as needed.
   7. Encourage other recommendations for control of heart disease such as increased exercise, required diet restrictions, and maintenance of healthy weight.
   8. Monitor any episodes of chest pain, shortness of breath, or dizziness. Report any changes to the physician.
   9. Maintain follow-up visits to a physician.
   10. Advise client to carry identification to include the disease and medications used.

References

Ackley, B. J., & Ladwig, G. B. (2006). Nursing diagnosis handbook: A guide to planning care. St. Louis: Mosby Elsevier.
Deglin, J. F., & Vallerand, A. H. (2001). Davis’s drug guide for nurses. Philadelphia: F. A. Davis Company.
Nursing 2006 drug handbook. (2006). Philadelphia: Lippincott Williams and Wilkins.
Perry, A., & Potter, P. (2006). Clinical nursing skills & technique. St. Louis: Mosby Inc.
Rice, J. (1998). Medications mathematics for the nurse. Albany, NY: Delmar.