4. Mr. Kee is intubated with a 7.5 mm orotracheal tube. He is in the ICU on a ventilator. The low-exhaled-volume alarm is sounding and Mr. Kee is phonating. His respiratory rate is 32 breaths/ minute, the heart rate is 122 bpm, and the pulse oximeter is 89 percent. You measure the cuff pressure to be 30 cm H2O, and the pilot tube and valve are intact. What would be your recommendations to remedy this situation?

4. Mr. Kee is intubated with a 7.5 mm orotracheal tube. He is in the ICU on a ventilator. The low-exhaled-volume alarm is sounding and Mr. Kee is phonating. His respiratory rate is 32 breaths/ minute, the heart rate is 122 bpm, and the pulse oximeter is 89 percent. You measure the cuff pressure to be 30 cm H2O, and the pilot tube and valve are intact. What would be your recommendations to remedy this situation?

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