The Power of Reporting: Discharged CHF Patient With ACE Inhibitor Prescription

What symptom should a patient with CHF report to the healthcare provider after being discharged with captopril?

A. Weight loss

B. Dizziness

C. Muscle cramps

D. Dry mucous membranes

Answer:

The patient with CHF discharged with captopril should report dizziness to the healthcare provider.

When a client with congestive heart failure (CHF) is discharged with a new prescription for the angiotensin-converting enzyme (ACE) inhibitor captopril (Capoten), it is crucial for the nurse to provide the necessary discharge instructions. In this case, the patient should report dizziness to the healthcare provider.

ACE inhibitors, like captopril, can sometimes cause low blood pressure, leading to symptoms such as dizziness. This symptom is important to report as it may indicate a significant decrease in blood pressure. If left unaddressed, it could result in issues like syncope (fainting) or falls.

While weight loss, dry mucous membranes, and muscle cramps are also symptoms that can occur with ACE inhibitor use, dizziness is the primary concern due to its association with hypotension. In response to reports of dizziness, the healthcare provider might need to adjust the medication dosage or consider an alternative medication.

It is essential for patients to communicate any concerning symptoms to their healthcare providers promptly to ensure appropriate management of their condition and medication regimen.