護理師為服用 Lisinopril 的病人進行衛教，下列哪些副作用若發生應立即回報？（選所有適合的）
A nurse is caring for a client with a new prescription for Lisinopril. Which side effects should the nurse educate the client to report immediately? (Select all that apply.)
- APersistent dry, non-productive cough持續性乾咳
- BSwelling of the lips, tongue, or face✓ 正解嘴唇、舌頭或臉部腫脹
- CDizziness upon standing站立時頭暈
- DElevated serum potassium levels✓ 正解血清鉀水平升高
- EDifficulty breathing or swallowing✓ 正解呼吸或吞嚥困難
Lisinopril 為 ACEI 類藥物。血管神經性水腫（Angioedema）表現為唇舌臉部腫脹及呼吸困難，具致命風險，必須立即就醫。高血鉀亦為危險副作用。乾咳雖常見但非危及生命；姿勢性低血壓（頭暈）雖應注意，但較少需立即緊急處置。
Lisinopril is an ACE inhibitor. Life-threatening adverse effects that must be reported immediately are angioedema (swelling of lips, tongue, face) and laryngeal edema causing difficulty breathing or swallowing—both require immediate discontinuation. Hyperkalemia is also dangerous because ACEIs reduce aldosterone and can cause life-threatening arrhythmias. A dry, non-productive cough is common and bothersome but not an emergency; orthostatic dizziness can be managed with slow position changes.
美國衛教強調告知藥師與醫師，台灣病人多會直接回門診掛號，兩地對於嚴重副作用的識別教育一致。