84    years old female pt 
for the last   one  years  her creatinie was  increasing  to 1.7 and she suffered from  uti 
before   15  days she had  uti 

she  sought medical advice  by  dr ala  alazah   and she was treated as   acase of ecoli



medications 
propafenin      150 
cocnor  
apixaban 
valsadipin  160/5- 
sitagl
simvastatin 


plan 
to  start  wither  iv  meropnm  or   suplrim 
in case of  sulprin  considr   reeat the test after   3 days  and consider  swtich to amicor   5 mg  1x2  instead of  valsadipin 
other  wise keep  on the same   with adding meropnm 



