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Both Furosemide and Lisinopril are typically available as oral tablets. Furosemide should be taken as prescribed, and if he misses a dose, he should take it as soon as possible, but not double up doses. Lisinopril should be taken consistently at the same time each day, regardless of meals. The strength of each medication will depend on Mr. Smith's medical condition and kidney function. In case of any significant changes, Mr. Smith and his wife should contact his physician.

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Patients taking Furosemide should avoid taking additional diuretics or supplements that may interact negatively with the medication.
Alcohol should also be avoided while taking Furosemide as it can worsen dehydration.
Ginseng may decrease the effectiveness of furosemide.
Mr. Smith should monitor the amount of salt in his diet, high sodium intake results lowering of furosemide effectiveness.
Patients on Lisinopril should avoid potassium supplements or salt substitutes containing potassium as they may worsen low blood pressure.

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Furosemide may include:
dehydration, muscle cramps due to low potassium, excess of glucose in the bloodstream, weakness, and dizziness.
Lisinopril adverse reactions may involve angioedema (swollen lips and tongue), dry cough, dizziness, lightheadedness, and skin rash.
Both medications can lower blood pressure, causing dizziness or lightheadedness. Mr. Smith and his wife should know these are potential side effects and understand when to call their physician in case of severe reactions.

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Furosemide is a diuretic that works by increasing the amount of water and salt Mr. Smith's kidneys eliminate, thereby reducing the fluid buildup in his lungs and other areas of his body caused by congestive heart failure.

Lisinopril is an ACE inhibitor that lowers blood pressure and helps the heart pump blood more efficiently.

These medications work together to manage Mr. Smith's congestive heart failure.

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Furosemide may interact with other medications that affect the kidneys, including nonsteroidal anti-inflammatory drugs (NSAIDs). Should be used cautiously with aminoglycoside antibiotics due to toxicity to kidneys and can cause hearing loss.
Lisinopril may interact with other blood pressure medications and nonsteroidal anti-inflammatory drugs that affect kidney function. It is crucial to inform the prescribing physician of any other medications or supplements Mr. Smith is taking before starting Furosemide or Lisinopril.

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Diuretics - Pharmacology - Renal System | @LevelUpRN. (n.d.). Www.youtube.com. Retrieved April 1, 2023, from https://www.youtube.com/watch?v=gYGZfu4lzuo

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Lisinopril: My Experience! (2017, December 31). Dose of Nursing. https://rophemhealth.com/2017/12/30/lisinopril-my-experience/
(Adams, 20190225)

Adams, M. P., Holland, N., Urban, C. Q.  (20190225). Pharmacology for Nurses,  6th Edition. [[VitalSource Bookshelf version]].  Retrieved from vbk://9780135268438

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Furosemide and Lisinopril may take several weeks to work fully.
Mr. Smith may notice a decrease in the swelling in his ankles, an improvement in his breathing, and less fatigue after being on these medications for a period.
He will need to take the medications as prescribed, typically once a day, and follow up with his physician and take any additional medications they may prescribe.
It is recommended to take your medications in the morning to avoid waking up in the night and for the sake of fall risk.