Upon entering an I.C.U., you notice a volume ventilator reac…

Upon entering an I.C.U., you notice a volume ventilator reaching the pressure limit with each cycled breath. The cause(s) could be due to: I. bronchospasm II. excessive patient secretions III. patient who is coughing IV. insufficient flow set V. leak in ventilator circuit

You are caring for a 25 year old male post op for a lap chol…

You are caring for a 25 year old male post op for a lap choly. His estimated IBW is 72 kgs. He has diminished breath sounds bilaterally. His RR is 26, VC 480 ml, VT 290. His nurse comments that the patient is a “slug” who will not do his IS despite repeated reminders. Based on this data, what would you recommend?