Please answer both of these discussion prompts comprehensively

  1. James is a 51-year-old male Hispanic truck driver with a long history of diabetes and hypertension. His current medication regimen is Lisinopril 20mg QD, metformin 1000mg QD, Lipitor 40mg QHS, and ASA 81mg QD. His A1C is 7, BP is 144/80, total cholesterol is 266, HDL 44, LDL 177, and Trig 199. What other information should you know about this patient to feel confident that his care is fairly well optimized? What parameters would you like to see improved? What clinical guidelines should you adhere to when managing this patient? Are there any changes to treatment you should consider? Support your decisions with evidence.

300 characters minimum, please touch base on all factors of the prompt

  1. Summarize acute kidney injury (AKI), include the RIFLE criteria for acute renal dysfunction/failure, and describe the pathophysiology, clinical manifestations, evaluation, and treatment.

300 characters minimum, please touch base on all factors of the prompt

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