dM   for the last   25  year s
htn  for the last  15  years 
dld   for the last   6  years 
CKD  for  the last   6  years    
creatiine  1.5    before   12  years 
and then  she was   was  followed   by    naseem alqasmeh 


she was admitted to  dura hospital   before one wek 
crp   49
creatinine 4,3
k 5,1
mg 1.8
bun 118
na 134
wbc   9.4   hgb  10.4    plt     186

before 2 days     wbc   10   hgb    9   plt   167
creatinine    3.8    k 4   bun   141


medications
mepra  20 mg ocne 
concorn   5 mg once 
alloril 100 mg ocne
laxadin 
alfa
lasix 2  am  1 pm 
amicor 5 mg 1x2
liponil 40 mg once
ferromed  plus 
calcium
folic  acid 
cade  2 mg  1x2
spiron  25 mg   eod 
asa  100 mg 
aldopa   250 mg 2x3 
sitaglu  50 mg once 
tegretol 
insluin   lantus  and   mixtard 
aransp 


plan 
add   basilox 
add sodium bicarbonate


she  has  shunt 
not  in need  for dialysis