Stephen J. Schueler, M.D.

Overview Incidence Risk Factors Symptoms Evaluation Treatment questions for doctor specialist Home Care fever warning signs wheezing Prevention Outlook Complications Underlying Cause Transmission Anatomy

Bronchiolitis Home Care

Home care for bronchiolitis includes:

  • Place a vaporizer or nebulizer in the bedroom at night.
  • Drink plenty of fluids.
  • Avoid exposure to secondary smoke.
  • Learn to use inhalers correctly.
  • Keep infant nasal passages clear.
    • Apply saline nose drops in each nostril.
    • Suction the nose with a soft bulb-tipped syringe.
  • Take prescribed medications as directed.
  • Acetaminophen for fever
  • Ibuprofen for fever
  • Avoid decongestant medications in infants.

Bronchiolitis Fever

Common medications used at home for fever in children include:

  • 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.


Bronchiolitis Warning Signs

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

Bronchiolitis Wheezing

Home care for mild wheezing in someone with bronchiolitis 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 children who take medication for wheezing includes:
  • Learn to use prescribed inhalers correctly.
  • Use short-acting inhalers every 20 minutes, or as directed by your doctor.

Continue to Bronchiolitis 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 Bronchiolitis References
  1. Domachowske JB, Rosenberg HF. Advances in the treatment and prevention of severe viral bronchiolitis. Pediatr Ann. 2005 Jan;34(1):35-41. [15693214]
  2. Flores G, Horwitz RI: Efficacy of beta2-agonists in bronchiolitis: a reappraisal and meta-analysis. Pediatrics 1997 Aug; 100(2 Pt 1): 233-9. [9240805]
  3. Kellner JD, Ohlsson A, Gadomski AM, Wang EE: Efficacy of bronchodilator therapy in bronchiolitis. A meta-analysis. Arch Pediatr Adolesc Med 1996 Nov; 150(11): 1166-72. [8904857]
  4. Lozano JM. Bronchiolitis. Clin Evid. 2004 Dec;(12):370-84. [15865644]
  5. Shay DK, Holman RC, Newman RD, et al: Bronchiolitis-associated hospitalizations among US children, 1980-1996. JAMA 1999 Oct 20; 282(15): 1440-6. [10535434]
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