acase of  dm htn 
diabetic nephropathy 
presented  for  follow up 
with  base line creatinine   2   mg/dl 

she was doing well 

she had  uti  
allril
\lipitor 
carvidelol  12.5 mg 1x2 
empa
calcium 1x3 
alfacal 
ferous 
a\eprex  4000 
asa  100 mg ocne 
lasix   40 mg  1x1 

plan 
stop  cadex  today 
make  aldopa   1x1 
stop  empa  for  one week 

lasix  hold  today and  do   once daily 


plan 
rtc after one week 
cadex   