Stephen J. Schueler, M.D.

Bacterial Pneumonia Wheezing

Home care for mild wheezing in bacterial pneumonia includes:

  • Avoid exposure to smoke.
  • Avoid cough medicine.
  • Avoid sedative medications.
  • Avoid substances that trigger wheezing.
  • Drink plenty of liquids to remain hydrated.
  • Place a vaporizer or nebulizer in the bedroom at night.

Home care for those who take medication for wheezing includes:
  • Follow asthma home care instructions.
  • Learn to use prescribed inhalers correctly.
  • Use short-acting inhalers every 20 minutes, or as directed by your doctor.
  • Long-acting medications must be used regularly.
  • Learn to use a peak flow meter.
  • Know the peak flow danger zones.
  • Develop a strategy for using your inhaler based on your PEFR reading
  • Stay calm during a wheezing attack.

Peak Flow Zones:
  • Green Zone:
    • A PEFR reading that is 80-100% of personal best represents good control
  • Yellow Zone:
    • A PEFR reading that is 50-80% of personal best represents a moderate attack
  • Red Zone:
    • A PEFR reading that is less than 50% of personal best represents a severe attack and may identify the need for treatment in an emergency department.

Continue to Bacterial Pneumonia Prevention

Last Updated: Dec 2, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Bacterial Pneumonia References
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  2. Musher DM, Alexandraki I, Graviss EA: Bacteremic and nonbacteremic pneumococcal pneumonia. A prospective study. Medicine (Baltimore) 2000 Jul; 79(4): 210-21. [10941350]
  3. Read RC: Evidence-based medicine: empiric antibiotic therapy in community-acquired pneumonia. J Infect 1999 Nov; 39(3): 171-8. [10714789]
  4. Ruiz-Gonzalez A, Falguera M, Vives M: Community-acquired pneumonia: development of a bedside predictive model and scoring system to identify the aetiology. Respir Med 2000 May; 94(5): 505-10. [10868716]
  5. Shorr AF. Preventing pneumonia: the role for pneumococcal and influenza vaccines. Clin Chest Med. 2005 Mar;26(1):123-34. [15802174]
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