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Flutter device nhs2/8/2024 During an exacerbation (a worsening of your symptoms) you may find it beneficial to increase the number of times you clear your airways through the day. Each session usually takes 20 to 30 minutes. This will depend upon the amount of sputum you usually produce. How long and how many times? Your respiratory physiotherapist will advise you on how many sessions you should do a day. Find a time and place where you can comfortably complete the full session and make airway clearance part of your daily routine. This will ensure the nebulised antibiotic can get into the smallest airways and be more effective. If you have a nebulised antibiotic, use this after your airway clearance. This will help open your airways, allowing air and secretions to move more easily and prevent you from feeling wheezy. It is advisable to use your bronchodilator (also known as a reliever which is usually blue in colour, for example Salbutamol, Ventolin, about 10 to 15 minutes before you try to clear your secretions.
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