C.L. is an 85 year old male with a left sided cerebral vascular accident (CVA). He had his stroke two weeks ago. He has only gross motor movement of his right leg and his right arm is flaccid. His left arm and leg are not affected. He is oriented and nods appropriately. He has some expressive aphasia, but this has been slowly improving with the assistance of the speech therapist. The therapist is also working with him because he has some dysphagia. He is on tube feedings at night only, for nutritional support. He receives full strength Enrich at 60 ml/hr from 8:00 PM to 8:00 AM. Then during the day he is assisted to re-learn swallowing. His VS at 0600 were 160/88, HR – 76, RR – 24, T – 98.8. His morning labs are sodium – 148, potassium – 5.0, chloride – 105, BUN – 32, creatinine – 2.1, hemoglobin – 15.2, hematocrit – 47%, albumin – 3.0 , total protein – 4.7. His home meds include: atorvastatin 20 mg, clopidogrel 75 mg, and metoprolol 12.5 mg. He takes all his meds in the morning.