60 yr male CKD on MHD

Past history : k/c/o DM since 10years and on Medication ( given by Government )

K/C/O HTN since 7 years and on medication.

 Personal history : 

PERSONAL HISTORY:

Mixed diet, Appetite normal,   alcoholic(30ml/day) and Smoking 36beedis per day. 

No  other addictions.

GENERAL EXAMINATION:

Patient was consious, coherent, cooperative;oriented to time,place,person.

Pallor present 

No icterus, clubbing, cynosis, lypmhadenopathy.

Bilateral pedal edema present. 

Investigations:

Treatment:

1) Inj. Lasix 40mg /IV /BD. 

2)Tab.clinidipine 10 mg /PO/ OD. 

3) inj. Human actrapid insulin /SC. 

4) tab. Nodosis 500mg PO/TID .

5) Tab. Shelcal CT 500mg/OD

6) Tab. Alfa D3/ PO/OD.

7) Tab. Orofer XT PO/OD.

8) Inj Ceftriaxone 1gm IV/BD.

9) Inj.Erythropoietin 4000IU /SC,weekly twice.

10) Tab.Alpha D3 PO/OD.

11) Inj.Pan 40mg IV/OD.

12) Inj Zofer 4mgIV/TID.

13) Strict I/O charting.