allergies: nkda neuro: confusion overnoc last night that was tx with haldol. prior to last night pt was a+o x3. this am pt groggy, found trying to crawl oob few times. this pm pt much more appropriate, a+o x3. will need bed alarm on. no further sedation or pain meds given or needed today. cv: sbp 96-126/30-52. bp dropping with haldol. cont on lopressor . sr 80-100's with activity. epicardial pacer off, 2 atrial wires, 2 vent wires taped to abd with dsd and dry. frequent pac's when k, ionized ca, and mag low. +2 pedal edema, easily palpable pedal pulses. oob with 2 min assist- amb with p.t. please see p.t. eval. resp: ls with minimal crackles at bases post prbc- lasix given. receiving lasix (40) with great diuresis. o2sat's 94-99 on 4l nc. is and c+db with effect. non-prod cough. gi: abd obese, soft, approp tender form incisions. large loose liquid bm's- via rectal bag initially, then commode. cdiff sent and pending. tol reg diet- great appetite. gu:foley patent of clear yellow urine. + diuresis ~1l post 40mg lasix this am. pain: minimal incisional pain with moving. skin:sternal incision and mediast incision wtih steri-strips c/d/i. no drng, no signs of infection. right leg incision upper thigh with min drng, steri-strips and dsd. lower incision wrapped with ace. Procedure: Single internal mammary-coronary artery bypass Extracorporeal circulation auxiliary to open heart surgery Combined right and left heart cardiac catheterization (Aorto)coronary bypass of two coronary arteries Angiocardiography of left heart structures Other and unspecified coronary arteriography Implant of pulsation balloon Diagnoses: Coronary atherosclerosis of native coronary artery Intermediate coronary syndrome Pure hypercholesterolemia Urinary tract infection, site not specified Unspecified essential hypertension Cardiac complications, not elsewhere classified Atrial fibrillation