POINTS TO REMEMBER

  1. Bubble/Bottle PEP is often used to transition young children between percussion and a PEP device.
  2. It uses water and tubing to provide variable resistance on expiration (breath out).
  3. A slightly bigger breath than normal is used with a long breath out.
  4. One set consists of 10-20 breaths or it can be timed, 2-3 minutes, before huffs and coughs.
  5. Try to make the session fun for young children.
  6. Bottle PEP must be cleaned after each use.
  7. Bottle PEP should be stopped immediately if a child complains of chest pain or coughs up any blood. The CF team should be contacted and CFWA should be informed.
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