My pulmonologist recommended not having more than 30 minutes' time between when I nebulized my albuterol and did my Arikayce treatment. I do albuterol first, immediately followed by nebulizing saline inline with my Aerobika. I immediately do my clearance, then do my Arikayce. It's worked well for me. I only have another 11 days of treatment!
Best of luck in your treatment and hoping you get negative cultures quickly!
Laurel