Cardiovascular Medication Schedule and Risk Management Plan

Patient Information

Name: _________________ Date: _________________ Primary Cardiologist: _________________

Daily Medication Schedule

Morning Medications (With Breakfast)

• Blood Pressure Medications: _____________ Time: _______
• Anticoagulants: _____________ Time: _______
• Statins: _____________ Time: _______

Afternoon Medications

• Heart Rate Control: _____________ Time: _______
• Other Cardiovascular Medications: _____________ Time: _______

Evening Medications

• Blood Pressure Medications: _____________ Time: _______
• Other: _____________ Time: _______

Important Reminders

Medication Guidelines

• Take medications at the same time each day
• Never skip doses without consulting your doctor
• Keep a minimum 2-week supply of medications
• Store in a cool, dry place

Monitoring Requirements

• Blood Pressure: ____ times per day
• Heart Rate: ____ times per day
• Weight: ____ times per week

Emergency Contact Information

• Cardiologist: _________________
• Emergency Contact: _________________
• Pharmacy: _________________

Risk Factors to Monitor

• High Blood Pressure
• High Cholesterol
• Diabetes
• Smoking Status
• Physical Activity Level

Next Appointments

• Cardiology Follow-up: _________________
• Blood Work Due: _________________
• Stress Test: _________________

Notes