72  years old female pt 
known to have   chronic kidney dsiease  with base line creatinine 2,8 
she is knon nw  to have  hypertension with

medication 
  cadex  2 m ocne 
concore    5 mg once 
lecardipisn  10 mg once 
lasix  stopped   lastr month 
she was referred from dr  ashraf  and    she is complainifng   from s ib  and  orthjpnia   
vcital signs    120/80 
spo2 96 
global hypokinesia  mil d  lvg  with significatn  diastolic  dysfucntion  with significnat    eelevated  lv


plan 
stop   lecardipsin 
stop lasix 
rtc after one week 
check blood pressure   and follow waight 
add alfcal and  add c alcium 