88   years old female  pt  
knonw to have   DM  on metformin 
htn 
parkinson
old  CVA
CKD  base line creatinine  2
pacemaker  last   check was   4/2025
was admitted to the hospital and  he  found to have creatinien  4    and a fter one week  of   hospitalziation   creatinie  2,6 

today he was seen and hsi chart was rtevoferf 
he  is  stable 
lower libs  edema 

he  has   right lower   zone  infiltration on chedt  examintion 

bp  130/70  
hr   52


plan 
meropnm  for   6  days 
acidal 
lasix  40 mg 1x2 
rtc  after  10 days 

last  creatonine   2.6 

