e alwwst   12  years 
right sided   body weakn ess   after  stroke before  12  years 
valvuler    heart  disease      and   she has     c cath   that showed   cardiac     problem    vesselss  and    sten


chronic kdiney  disease    creatinin  3.6   10/2024
renal us  showe d cyctic  changes

medicayion 
marial  10 mg once 
lasix    2  tab  daily 
liponil  40 mg ocne 
alfacal 0.25 mg once 

lanton   
nifidipin  30 mg once 

plan
add    cadex 
add   hydraazain 

rtc after one week 
make lasix  40 mg 2x2 