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National Kidney and Transplant Institute

East Avenue, Quezon City, 1100 Philippines

DISCHARGE SUMMARY / CLINICAL ABSTRACT

Last Name First Name Middle Name Sex Birthdate Hospital No.
AGUAS ELIZABETH CALPITO F 09/04/1972 1142883
Address : 14-I DIAMOND STREET, CYPRESS VILLAGE, MASAMBONG 1100 QUEZON CITY
METRO MANILA

Date of Out-Patient Follow-up: 10/22/2020 11:00:06 am


Renal Diagnosis
CHRONIC KIDNEY DISEASE (CKD) secondary to
Diabetic Nephropathy (DMN)

Chronic Kidney Disease Stage by? CKD EPI 5

On renal replacement therapy (RRT)?

Other Diagnosis and Recommendation:

Medications
Medication Generic Dosage Unit Freq
Glimepiride (PO) 1 tab 2x a day
Losartan 100 mg (PO) 1 Tablet 1 x a day
Ferrous Sulfate 325 mg (PO) 1 Tablet 3 x a day
Folic acid 5mg (PO) 1 tablet 1x/day
Erythropoietin Alpha 4,000 units (SC) 2 x a week
Calcium Carbonate 500 mg (PO) 1 tab 3x a day
Sodium bicarbonate 650mg (PO) 1 tablet 3x/day
Lactulose 3.3g/5ml syrup (PO) 30ml 1x/day as needed for constipation
Atorvastatin calcium 40 mg (PO) 1 tablet 1x/day
Calcitriol 0.25 mg (PO) 1 tablet 1x/day
Sevelamer 800mg tab PO 1 tablet 3 x a day during meals

indicate how many medications checked : 11 spell out #

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Sime Raymond Fernandez 124770 Print Date and Time : 10/22/2020 11:00:52 AM
Physician and License No. NEP-QMF-001 b7

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