80   years old male pt 
knonw to hav  hypertension    diagnosed before   6  years 
demntia 

medications 
valsan 160/12,5
omnic 
asa
lipitor
risperdal
peroxtin
no  pericardial effusion 

echo was done  and showed    ef  55% 
right  ventricle

abdominal us  shwoed norØ©al   kidney  size and  echogenecity 
normal liver and  he has  hernia    intestinal contest 
not  complicated 

creatinine   1.7 


new  medication 
amicr   5 mg  1x2 
cadex   2 mg once 
asa 
lipitor 
make  respiredal  1 mg   pm  instaead  of  1  mg 1x2
add   cadex 
add   normalax 
add  laxadin 
ferrous  fumarate''


rtc  after   3 weeks 
