My mother age 80 yrs - CKD , LVF , CRF , right side cardiac congestion . At present s. creatinine 7.8 , potassium 6.3 , 24 hrs urine creatinine clearence 41 , PTH 1055 , Hb 8.8 ,calcium 7.38 , phospkorous 5.64 , Magnesium 2.47 , Liver Function -- Protein 7.2 , Albumin 4.4 , Globulin 2.9 , A/G 1.51 SGPT 5 , SGOT 12 , Alkaline Phosphate 190 // BUN 46.4 , urea 99.2 // nephrologist advised for dialysis but we refused for dialysis . At present mostly unconscious , donot open her mouth ( very little ) , urine output 400 ml , pulse 61 , blood sugar 150 . Pl suggest which medicine should i give ? Regards . Rajesh Kayastha ( Valsad-Gujarat-India )