65 years old  male pt 
knonw to have  DM HTN DLD   HCHF  
S/P  AMPUTATION 

CKD  WITH BASE LINE CREATININE   3-4 

PRESENTED WITH  CREATININE   5.49
HBA1C   9.6
+  3  PROTEIN  AD    8-10  WBC


MEDICATION S
PLAVIX   75 MG ONCE 
LIPITNIL  40 MG OCNE 
CALCIMORE      600 MG OCNE 
TAVANIC  500 MG   ONCE DAILY
AMICOR  5 MG ONCE 
ASA   100 MG OCNE 
CONCONR  5 MG OCNE 
CADEX   4 MG ONCE 
LASIX    40 MG 2X2