A patient has been on CMV using an HME for the past 72 hours…

A patient has been on CMV using an HME for the past 72 hours has developed thick retained secretions. The patient has the following vitals:   HR – 95 bpm Respiratory rate – 18 breaths/min BP –  130/80 mmHg Temp – 37.2oc   What should the respiratory care practitioner recommend to resolve the problem?