After these 10 to 12 breaths, perform 3 to 4 huffs and then a big cough to bring up mucus. Try to resist coughing during this phase. Repeat this maneuver for 10 to 12 breaths.Keep your cheeks as firm as possible when you exhale. Try not to inhale through the device. Exhale as much as possible (but not too forcefully) through the mouthpiece.Seal your lips tightly around the mouthpiece. Place the Acapella mouthpiece in your mouth.Take in a fairly deep breath and hold it for about 3 seconds.Your healthcare provider will show you postural drainage positions to use if these are recommended. Postural drainage positions include lying flat on your back, flat on your side and alternating sides. Sometimes we may have you lie in a postural drainage position to use the Acapella®. Sit up with good posture to use the Acapella®.Rotate the end toward – (minus)to decrease resistance. Rotate the end toward the + (plus) to increase resistance. This is the end opposite the mouthpiece. Your healthcare provider will set the dial when you get your Acapella®.
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