After you have met with your doctor and set up an exercise plan, use these tips for better exercise. You can use them at your pulmonary facility or at home.

Here's how to get ready:

• Plan your workout for the time of day when you normally have the most energy.
• Dress for comfort. Wear shoes that support your feet.
• Use a bronchodilator if one has been prescribed. For best results, use it as prescribed by your doctor before exercise or any other strenuous activity.
• Clear your lungs of mucus if needed.
• Use oxygen if it's prescribed for use during activity. Increase the flow rate only if your doctor has told you to. Raising it on your own can be unsafe.
• Check the weather before you start. On warm or humid days, reduce your workout and rest more often. Also drink extra fluids. Exercise earlier in the day, before it gets hot. If it's cold outside or if air quality is poor, exercise indoors. Walk inside your home or in a mall.

My starting goal is ________ minutes of exercise, ________ days a week.

Here's what you can do before and after exercising:

• To warm up, start with a few stretches. This gets your muscles ready for exercise.
• After your stretches, move on to heavier activity. Pace yourself. Remember to breathe.
• Toward the end of your workout, decrease your effort so your body can cool down. Then stretch again. This relaxes your muscles. It helps prevent soreness, too.
• Rest and relax.

Tips for safe exercise:

• Follow the guidelines your doctor or pulmonary rehab team has set for you.
• Pace yourself. Stop and rest when you need to.
• Drink plenty of water before, during, and after exercise.
• Remember that shortness of breath is okay, as long as you can talk and are in control of your breathing. Everyone gets short of breath during exercise—even people without chronic lung disease. But if you can't speak, you're pushing yourself too hard. If you have increased shortness of breath, slow down. If it continues, stop and rest.
• Use pursed-lip breathing to control shortness of breath.
• Keep your rescue inhaler with you. Use it if you need to.

Stop exercising right away and call your doctor if you feel any of these:

• Abnormal or increasing shortness of breath
• Chest pain or discomfort (burning, tightness, heaviness, or pressure)
• Aching in your arms, shoulder, neck, jaw, or back that is typical for you
• A slightly racing or skipping heartbeat
• Feeling much more tired than usual
• Feeling slight lightheadedness, dizziness, confusion, or nausea
• Abnormal joint pain

Call 911 if you have any of these:

• Shortness of breath that is abnormal, severe, or quickly getting worse
• Unusual or severe chest pain or discomfort (burning, tightness, heaviness, or pressure)
• Abnormal aching in your shoulders, arm, neck, jaw, or back
• Feeling very lightheaded or dizzy
• A very fast or skipping heartbeat
• Not able to talk