allergies: nkda social: no tobacco, social etoh current review of systems: neuro: pt more responsive. this am, pt "i have to get out of here." oriented to self, able to state his first and last name, wife's first name, knows he has 3 children. stated he was in . when pt is asked why he is in the hospital, he becomes agitated and restless, does not respond. intermittently agitated and restless, receives haldol and prn. moves all ext's, tends to keep ue's over his head. 1:1 sitters at bedside at all times. psych has been unable to fully evaluate as pt has been non-verbal until yesterday. cv: hr 80's-90's, nsr while sleeping, up to 110's-120's when awake. on multiple meds to keep sbp <115, including: lopressor, dilt, clonidine patch, hydralazine and ntp. skin warm and dry, easily palpable pulses. left subclavian tlcl patent, site benign resp: breath sounds clear in upper lobes, diminished in the bases bilat, left > right. strong, congested cough, pt swallows secretions. 02 weaned off , currently sats 94-96% on ra renal: diuresing well from lasix, repleting lytes prn gi: abd soft, (+) bowel sounds. tube feeds at 90cc/hr, however, pt's po intake much improved, ? hold tube feeds and advance diet as tolerated. large soft formed stool on . heme: no issues id: t. max 100.1. wbc from today pending. continues on levaquin for lll infiltrate skin: sternal and thoracotomy incis ota with staples, erythema along incis line. small area at proximal end of thoracotomy incis with small amt of serosang drainage. left upper chest stab wound--red healthy granulation tissue, small amt of serosang drainage. wet to dry dressing changes tid. Procedure: Insertion of intercostal catheter for drainage Venous catheterization, not elsewhere classified Continuous invasive mechanical ventilation for 96 consecutive hours or more Other esophagoscopy Other bronchoscopy Other surgical occlusion of vessels, thoracic vessels Other operations on vessels of heart Closure of laceration of lung Exploratory thoracotomy Diagnoses: Pneumonia, organism unspecified Suicide and self-inflicted injury by cutting and piercing instrument Other convulsions Depressive disorder, not elsewhere classified Laceration of lung with open wound into thorax Injury to pulmonary artery Laceration of heart without penetration of heart chambers, with open wound into thorax