Separate a Steripoule from the strip by carefully pulling and twisting. Never use one that is already open.Hold the Steripoule upright and twist off the tab. Use the contents of the Steripoule immediately after opening.Use the contents of the Steripoule to dilute the other nebuliser solution as instructed by the doctor. Squeeze the prescribed amount of sodium chloride solution from the Steripoule into the nebuliser reservoir