57   years old female pt 
Known to have  HTN   for the last  5  years 
dLD 
IHD      with stent  before  3  years 

MEDICATION 
CONCOR  5 MG ONCE 
CODIOVAN  80/12/5 
ASA 
NEXIUM
PLAVIX
CRE
PSTORCC 

PLAN 
HOL;D  CODIOVAN 
ADD   AMICOR  
BIOSOLVE 
MEBEVERIN  FOR  IBD 

RTC AFTER  2 WEEKS     WITH CREATININE LEVEL 