【正文】 should selfmonitor the adverse reactions of drug, and increasing or decreasing and changing the drug should consult a specialist. The clopidogrel should be taken at least 1 year after PCI, and aspirin entericcoated metformin hydrochloride, statins, beta blockers and ACEI or ARB drugs should be taken for the whole life. the drug’s dosage ,time ,method and the side effects of drugs to the patient with nticoagulation and antiplatelet, lipidlowering, nitrates, calcium channel blockers, ACE I drugs. Taking anticoagulants and antiplatelet drugs (such as aspirin and clopidogrel), should pay attention to observe whether there is blood in the urine, and black in defecation, and if there a difficulty to stop bleeding in the nasal and gums. The patient should observe whether there is a muscle pain, nausea when taking statins. Once the above situation appear , please do not hesitate to see a doctor, and instruct client to observe the bleeding tendency.3. You should carry the emergency drugs (nitroglycerin) of coronary heart disease especially go out in daily life in case of urgent need. But in order to prevent heart attacks, you should sublingual nitroglycerin if involve emotional situation in motion at first. In addition, nitroglycerin is easy deposes in the light, so it should be placed in brown bottle, and it is better to replace every 6 months. Teach the methods to relieve angina pectoris attack, and should stop the activity or sublingual nitroglycerin immediately when chest pain occur and seeing a doctor if use three times without relieving soon enough. The patient should check electrocardiogram blood pressure, blood sugar, blood lipid and liver function regularly, etc.4. Avoid being deceived, and don39。t listen to any advertisement or publicity can cure coronary heart disease.Review1. The patient should have followup in outpatient clinic in 1 to 2 weeks in the process of the drug, and check the liver and kidney function, blood sugar, blood fat, blood routine, coagulation function, myocardial enzymes and electrocardiogram examination at every month. The patient should review coronary angiography after percutaneous coronary intervention in 6 months.2, Expert visits and time information: there is director of the outpatient and ordinary outpatient service from Monday to SaturdayOtherLight diet, low salt ,low fat, weight control ,moderate exercise, avoid smoke, wine limited, keep warm ,avoid catch cold, control mood ,calm, cheerful life, get plenty of sleep, follow the doctor39。s advice to take medication Review of disfort, followup on a regular basisNursing summary Patient has a many past medical history, such as chronic renal insufficiency, lower extremity deep vein valve insufficiency, gout and carotid atherosclerosis, etc. Nurse should not only pay attention to the extant nursing problem, but also pay attention to the potential problems, and treat patient in a detail and serious.in patients帶教老師閱評意見：綜合評分