<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 52-year-old man presents to the emergency department with chest pain radiating to his left jaw and arm. He states that he had experienced similar symptoms when playing basketball. The medical history is significant for diabetes mellitus, hypertension, and GERD, for which he takes metformin, hydrochlorothiazide, and pantoprazole, respectively. The blood pressure is 15090 mm Hg, the pulse is 100min, and the respirations are 15min. The ECG reveals ST elevation in leads V3-V6. He is hospitalized for an acute MI and started on treatment. The next day he complains of dizziness and blurred vision. Repeat vital signs were as follows: blood pressure 9060 mm Hg, pulse 72min, and respirations 12min. The laboratory results were as follows:Serum chemistrySodium 143 mEqLPotassium 4.1 mEqLChloride 98 mEqLBicarbonate 22 mEqLBlood urea nitrogen 26 mgdLCreatinine 2.3 mgdLGlucose 120 mgdLWhich of the following drugs is responsible for this patients lab abnormalities?? A: Digoxin, B: Pantoprazole, C: Lisinopril, D: Atorvastatin, E: Nitroglycerin,  <response>: This is a clinical vignette describing a 52-year-old man with chest pain and ECG changes consistent with an acute myocardial infarction MI. He was started on treatment for the MI. The next day, he developed dizziness, blurred vision, hypotension, bradycardia, and laboratory abnormalities including elevated BUN and creatinine. The key to this question is recognizing that the patients symptoms and lab abnormalities the day after his MI are consistent with volume depletionhypovolemia. The history provides several possible explanations - he takes metformin, HCTZ, and pantoprazole. Metformin can cause lactic acidosis but would not explain the hypovolemia. HCTZ is a diuretic and can cause volume depletion, electrolyte abnormalities, and acute kidney injury. Pantoprazole and other PPIs can cause hypomagnesemia but would not cause the constellation of findings in this vignette.Therefore, the HCTZ is most likely responsible for the patients presentation the day after his MI.C: Lisinopril 