Stephen J. Schueler, M.D.

Bacterial Pneumonia Home Care

Home care for bacterial pneumonia includes:

Bacterial Pneumonia Cough in Adults

Home treatment of a cough in adults with bacterial pneumonia includes:

  • Avoid respiratory irritants, such as pollution, pollen, mold, dust and chemical fumes
  • Change A/C and furnace filters regularly.
  • Do not smoke and avoid exposure to secondary smoke.
  • Drink warm liquids to relieve coughing spasms.
  • Raise the head of your bed at night and sleep on your left side: this minimizes acid reflux.
  • Use throat lozenges.
  • Place a vaporizer or nebulizer in the bedroom at night.

Cough medications:

Cough medication precautions:

Bacterial Pneumonia Cough in Children

Home treatment of a cough in children with bacterial pneumonia includes:

  • Avoid respiratory irritants, such as pollution, pollen, mold, dust and chemical fumes
  • Change A/C and furnace filters regularly.
  • Avoid exposure to secondary smoke.
  • Drink warm liquids to relieve coughing spasms.
  • Use throat lozenges, but do not use them in children under 5 years of age.
  • Place a vaporizer or nebulizer in the bedroom at night.

Cough medicines:

Dosing Dextromethorphan
Childs WeightDextromethorphan Dose
22 lb (10 kg)5 mg every 8 hrs
33 lb (15 kg)7.5 mg every 8 hrs
44 lb (20 kg)10 mg every 8 hrs
55 lb (25 kg)12.5 mg every 8 hrs
66 lb (30 kg)15 mg every 8 hrs
88 lb (40 kg)20 mg every 8 hrs
110 lb (50 kg)25 mg every 8 hrs
132 lb-adult (60 kg)30 mg every 8 hrs

Cough medication precautions:

Bacterial Pneumonia Fever in Adults

Common medications used for fever in adults with bacterial pneumonia include:


Acetaminophen
  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Adult dosing is 2 regular strength (325 mg) every 4 hours or 2 extra-strength (500 mg) every 6 hours.
  • Maximum dose is 4,000 mg per day.
  • Avoid this drug if you have alcoholism, liver disease or an allergy to the drug. See the package instructions.
  • Common brand names include Tylenol, Panadol, and many others.

Aspirin

Ibuprofen

Naproxen

Ketoprofen

NSAID Precautions

Bacterial Pneumonia Fever in Children

Common medications used at home for fever in children with bacterial pneumonia include:


Aspirin and most of the other nonsteroidal anti-inflammatory drugs (NSAIDS) are not used in children except under a doctor's care.

Acetaminophen
  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Dosing is 10-15 mg per kilogram (5-7 mg per pound) of body weight every 4-6 hours, up to the adult dose.
  • Do not exceed the maximum daily dose.
  • Acetaminophen products come in various strengths. Always follow the package instructions.
  • Avoid this drug in children with liver disease or an allergy to acetaminophen.
  • Common acetaminophen products include Tylenol, Panadol and many others.

Ibuprofen

Naproxen

Bacterial Pneumonia Warning Signs

Notify your doctor if you have bacterial pneumonia and any of the following:

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 1, 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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