25     years old male pt 
knonw to have  HTN 
low  IQ 
he  has  nephrotic  syndrome 

he was admitted  and  found to have low  ejection fraction 
creatnine     from  4.3   to  3.3 

24  hour urine collection for protein   12  400 

esr  27 

plan 
continue
calcium  600 mg   1x2 
alfaca  0.25 mg 1x1 
ferrous fumarate  1x1
prednisone    10 mg once 
aasa   100 mg once 
lipitor  40 mg ocne 
amicor  5 mg   1x2