today  she came   for follow up 
crweatinine  1.3 
urine protein    plus  1 

plan 
add   valsadipin  hct  160/ 5 /12.5 
hold  empa 
add  ciprofloxacin 
add   urostable 

rtc after    one and hald  month 
resistat   to  salph  and  cefro