Stephen J. Schueler, M.D.

Bronchiectasis Wheezing

Home care for mild wheezing in someone with bronchiectasis 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 Bronchiectasis 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 Bronchiectasis References
  1. Barker AF: Bronchiectasis. Semin Thorac Cardiovasc Surg 1995 Apr; 7(2): 112-8. [7612755]
  2. Franco F, Sheikh A, Greenstone M: Short acting beta-2 agonists for bronchiectasis. Cochrane Database Syst Rev 2003; CD003572. [12917973]
  3. ten Hacken N, Kerstjens H, Postma D. Bronchiectasis. Clin Evid. 2004 Jun;(11):1998-2002. [15652093]
  4. Tsang KW, Tan KC, Ho PL, et al: Inhaled fluticasone in bronchiectasis: a 12 month study. Thorax 2005 Mar; 60(3): 239-43. [15741443]
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