I am working on a care plan for my patient who is 78 yr old, was hit by a car and suffers from a femur fracture due to the accident. He had ORIF sugery, CHF, CAD, HTN. He had a pacemaker inserted 3 years ago(5 leads...??)after a heart attack. His heart only has 30% output. He is at TCU and is undergoing PT. He is also on a cardiac diet. I wish I had lab values but unfortunately our teacher did not inform us of most of the things we should have collected until after the clinical experience. Any help of a diagnosis would help and be appreciated greatly. I am stuck on this one.