text:  ON ADMISSION This is a gentleman who is intubated   comfortable   with minimal sedation . He was afebrile with a temperature of 99.1 . His pulse was in the 70s   blood pressure 119  58 . He was breathing 12 per minute and saturating 98 . His CVP is ranging from 07-27 . He was intubated and has a nasogastric tube . His neck has a well-healed right carotid endarterectomy scar . There is also a well-healing tracheostomy scar . The lungs were clear to auscultation bilaterally . The heart was regular with an S1 and S2 . The abdomen was soft   nontender   nondistended with normoactive bowel sounds . The extremities were without edema . The left arm was in a cast .