Undoubtedly, cardiac patients at the greatest risk are geriatrics approaching the age of 70 and experience cardiac pain even at rest. According to cardiologists, their electrocardiogram is quite characteristic in the sense that it has a segment of depression at the initial points. In handling these patients, clinical nurses are required to take utmost care because of the relative weakness of their organ systems with regards to drug interactions and drug metabolism. For instance, geriatrics could easily suffer drug toxicities as drug metabolic systems are not that competent to actively degrade the drug active agents in a predictable manner. As such, clinical nursing specialists must provide them with adequate and accurate in-service programs to triumph over their disease situations. On the other hand, cardiac patients who belong to the medium risk group often experience various complications that clinical nurses must properly take care of. These include the risk of ischemia after myocardial infarction, heart failure, diabetes mellitus or aspirin doze. According to current nursing modules, such patients are supposed to receive an appropriate doze of glycoprotein II b/ III a receptor inhibitors to help ease their complications, especially for conditions induced by aspirin does (Blevins & DeArmond, 1995).
The fundamental aspect of my objectives will be to rightly identify high risk patients and accord them the timely medical attention that is required of the medical profession. It would be appropriate and cost effective, for instance, to manage patients with no major risk factors even after exertion outside the hospital setting. Conversely, patients who exhibit these risk factors should not only be placed under clinical investigation, but should also be given the appropriate drugs that would effectively manage their complications. In this case, I would undoubtedly corporate with pharmaceutical professionals, especially clinical pharmacists, to administer the best kind of drugs and avoid drug interactions. Indeed, the practice of clinical nursing would take cognizance of the fact that the recent developments in the treatment and management of acute coronary syndromes have been mainly due to increased patient awareness of their patho-physiology. This would enable them identify the areas where patients need to be educated so that they can take charge of their health. For example, I would ensure that I initiate education with a view to enlightening the people about the rapture of atherosclerotic plagues that eventually causes intracoronary thrombosis. Besides, I will educate them on the risks of embolism, especially from a friable coronary thrombus that could eventually lead to tissue necrosis as blood supply will be inadequate (Morrison & Monagle 2009).