1. Move the sliding goal marker as directed.
2. Sit up straight.
3. Hold the spirometer upright and at shoulder level.
4. Breathe out normally.
5. Place your lips around the mouthpiece.
6. Take a slow, deep breath in.
7. Bring the piston up to the goal marker.
8. Hold your breath as directed.
9. Remove the mouthpiece and breathe out normally.
10. Repeat as directed.
11. Cough between rounds to clear your lungs more.
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