  hypertension for the last   40 years 
dm fo the last 14  years 
DLD     for the last    few  years 
CHD    with ejction fraction 
ischemic ehart disease     with  one  stent     8/2/2024
valvuler heart  disease 
6/2022  she  has  staghorn stone an dshe  underwent  surgery 

creatinine  after   surgery was unknown 

she was  during  well untill   thursday  when she had    headache and dizziness 
and she    found to have  creatinine  3  mg /dl 


2 weeks a go  she  has   sob and she was admitted to the hospital   and  there  th  creatinie was  1.7 mg /dl 

labs 
crea3 
rbs   245
wbc     8.6 
hgb13.7
plt233

medications 
monocord  20 mg   1x2
asa   100 mg ocne
concor  5 mg ocne 
liponil  40 mg ocne 
pantover 40 gm ocen
plavix  75nmg ocne 
amicor  5 mg ocne 
lasix   40 mg ocne 


she was  maintained on 
metfomrin 
inflictra 
and  valsan  hct 
aldactone   25 mg once 


plan 
do labs 
do renal us 
add alfacal 
add  calcium 
add biosolve 
keep other teh same 
rtc after  2 weeks 
