I would put this patient on A/C with a tidal volume of 500mL/kg, RR of 14 bpm, PEEP of 5cmH2O, and FiO2 of 100%. I would also make sure that patient's I:E ratio was 1:4 to allow them a longer time to blow off the CO2. I would also administer a bronchodilator such as DuoNeb to help open and relax the patient's airways so that they can cough up secretions more easily. I also think it might be beneficial for nursing to administer Tylenol to the patient to help with the fever he is experiencing.

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