edan~ were you specifically instructed to immediately follow the hypersal with the pulmozyme? Hypersal can affect how well the Pulmozyme works. We do albuterol, hypersal and pulmicort in the AM, albuterol, pulmozyme and pulmicort at night. When doing 3 tx/day we add another hypersal. We were told it was better to only do hypersal once than it would be to do it twice and therefore end up combining it in the same session as pulmozyme.
Emily was much older at dx and when starting any of her tx, but just wanted to chime in to mention that her clinic has all kids do their first hypersal tx in office due to risk of bronchospasm... so your child isn't just doing this due to being little. It's safer to start this way, since bronchospasm is a known risk with this med. Emily did pft's, albuterol, pft's, hypersal, and pft's again. Obviously a little one won't be able to do pft's but they can observe. She coughed (productively) throughout the tx and had mucus production from her nose as well~ we were very happy! It's continued to be a great tx.