67 years old male patient 
known to have dm  htn   ckd  base line creatinine  2.8 
presented   after   being discharged from  the hospita; woith  creatinien   reached  4.1 

medication 
insulin 
asa  100 mg once plavix   75 mg ocne 
hydralazin 
carvidelol 4monocord 
liponil  calcium severmaler 
alfacal 


plan 
add   feboxstate 
add   biosolve 
add    zimical 

rtc after  2 weeks 