Stephen J. Schueler, M.D.

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

Bronchopulmonary Dysplasia Wheezing

Home care for mild wheezing in someone with bronchopulmonary dysplasia 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

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 Bronchopulmonary Dysplasia 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 Bronchopulmonary Dysplasia References
  1. Grier DG, Halliday HL. Management of bronchopulmonary dysplasia in infants: guidelines for corticosteroid use. Drugs. 2005;65(1):15-29. [15610049]
  2. Northway WH Jr: Bronchopulmonary dysplasia: twenty-five years later. Pediatrics 1992 May; 89(5 Pt 1): 969-73. [1579413]
  3. Pierce MR, Bancalari E: The role of inflammation in the pathogenesis of bronchopulmonary dysplasia. Pediatr Pulmonol 1995 Jun; 19(6): 371-8. [7567218]
  4. Van Marter LJ. Strategies for preventing bronchopulmonary dysplasia. Curr Opin Pediatr. 2005 Apr;17(2):174-80. [15800407]
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