52  years old male pt 
DM   x 30 
htn   x 10 
ischemic  heart disease with stent  before  3  years 

medications 

cadex    4  mg 1 x2

concor 5  mg once \
calcimore  600 mg 1x3 
davinus   5  mg once 
lantus    8 
mepral  40 mg once
crestor    20 mg once 
lasix  40 mg once 
osmoadalte     60 mg 1x2 
alfacal 0.25 mg once 
asa  100 mg once 




creatinine  4,4
plan 
add  biosolve 
add  monocord 
stop  nifidipine 
aranesp
rtc after one month  after doing labs 







he came  back next  day 
creatinine  4.2 
bun 70
serum lyte  normal 
hgb 7,7 
otherwise normal 