PEP Routine

It is important that you follow the individual routine which has been developed for your client by their CF physio. This is an example of a routine you might see:

• Sitting upright, elbows supported at a table if possible.
• If using a mouthpiece, it should be positioned in the mouth between the teeth, with the lips sealed around the mouthpiece.
• If using a mask, place mask over nose and mouth and hold firmly to create a seal.
  • Take a slightly larger than normal breath in, breath hold, followed by an active breath out, not too hard.
    • • • • • • • • This may be repeated 12-15 times, or for younger children the set may be timed rather than breaths counted.
                  • Older children and adults will be encouraged to huff and cough after each set of breaths.
                  • Repeat each set as prescribed in treatment plan.
                  • The PEP device should be cleaned after each session.