71  years old male pt 
known to have 20  years 
htn   for the last   20 years 
dld 
not known to have   chogestive heart disease 
ckd  base line 3 
before   2 weeks    creatiine  was 8 

he was admitted to the dura hospital asa case of uremic  encephalppathy and  intiation of  dialysis was done and  today he was discahrfged on thw same  medication 


plan 
for  perm cath  tomorrow 
for  fistual  a fter  tomorrow 
add  medication 

