<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 63-year-old male is admitted to the Emergency Department after 3 days difficulty breathing, orthopnea, and shortness of breath with effort. His personal medical history is positive for a myocardial infarction 6 years ago and a cholecystectomy 10 years ago. Medications include metoprolol, lisinopril, atorvastatin, and as needed furosemide. At the hospital his blood pressure is 10860 mm Hg, pulse is 88min, respiratory rate is 20min, and temperature is 36.4C 97.5F. On physical examination, he presents with fine rales in both lungs, his abdomen is non-distended non-tender, and there is 2 lower limb pitting edema up to his knees. Initial laboratory testing is shown belowNa 138 mEqLK 4 mEqLCl- 102 mEqLSerum creatinine Cr 1.8 mgdLBlood urea nitrogen BUN 52 mgdLWhich of the following therapies is the most appropriate for this patient?? A: Furosemide, B: Normal saline, C: Hyperoncotic starch, D: Terlipressin, E: Norepinephrine,  <response>: This is a clinical vignette describing a 63-year-old male with a history of myocardial infarction and cholecystectomy who presents with symptoms and signs consistent with acute decompensated heart failure, including orthopnea, shortness of breath, rales on lung exam, lower extremity edema, and elevated BUN and Cr. The key findings are signs of volume overload, including rales, edema, and elevated BUNCr. This suggests the patient would benefit from diuresis to improve his symptoms. Choice A, furosemide, is a loop diuretic that would promote diuresis and help relieve the fluid overload. This is the most appropriate therapy.Choices B-E would not be appropriate. Normal saline would worsen fluid overload. Hyperoncotic starch is a plasma expander, also worsening fluid overload. Terlipressin and norepinephrine are vasopressors used in sepsis and shock, which this patient does not have.A: Furosemide 