Stephen J. Schueler, M.D.

Bronchitis Chronic Wheezing Attacks

Home care for mild wheezing in someone with chronic bronchitis 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 Bronchitis Chronic Prevention

Last Updated: Dec 7, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Bronchitis Chronic References
  1. Brunton S, Carmichael BP, Colgan R, Feeney AS, Fendrick AM, Quintiliani R, Scott G. Acute exacerbation of chronic bronchitis: a primary care consensus guideline. Am J Manag Care. 2004 Oct;10(10):689-96. [1552116]
  2. Martinez FJ, Anzueto A. Appropriate outpatient treatment of acute bacterial exacerbations of chronic bronchitis. Am J Med. 2005 Jul;118(Suppl 7A):39S-44S. [15993676]
  3. Panpanich R, Lerttrakarnnon P, Laopaiboon M. Azithromycin for acute lower respiratory tract infections. Cochrane Database Syst Rev. 2004 Oct 18;(4):CD001954. [15497172]
  4. Schmier JK, Halpern MT, Higashi MK, Bakst A. The quality of life impact of acute exacerbations of chronic bronchitis (AECB): a literature review. Qual Life Res. 2005 Mar;14(2):329-47. [1589242]
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