pt is 28yrs old female, hypertensive since last 4 yrs(after her first pregnency),went in renal failure( creatinine was 11mg/dl 0and pulmonary edoema,5 month back, since then she is on dialysis twice a week, her creatinine used to stay at 7mg/dl before dialysis andbetween 3 to 4 mg/dl post dialysis, her utrasuond shows bilateral small sizes kidneys, Rt 7.3 cm and left 7.4cm. plz advice measures to reduce creatinine level