47   years old male pt 
knonw to have DM  HTN 
DIABETIC FOOT 

CKD  WITH BASE LINE CREATININE   3.5 MG ONCE DAILY 
LAST THURSDAY  HE  FOUND TO HAVE  CREATININE  11.5 MG /DL 
CREATININE  12.9 MG/DL 

MEDICATIONS 
LASIX    40 MG 2   AM   AND  1 PM 
ASA  100 MG ONCE 
AMICOR  5 MG 1X2 
ALFACAL 
ADD  SEVELAMER 
ADD  AMICOR 
ADD CADE 
MAKE  LASIX  40 MG  3  TABS  DAILY 

FOR  AVF   ON WEDNESDAY 
FOLLOW UP  EACH  10 DAYS 
