today the tpt was seen   and her chart was reviewed 
she is pregnant  7 weeks 
she has  creatinine  0.5 
urine protein /creatinine  1250 

plan 
asa 
aldopa  if indicated 
follow up creatinine and urine protein/creatinine  ratio   evry month 
i  more than  3.5  then to consider  steriod 

thanks 