Stephen J. Schueler, M.D.

Overview Symptoms Evaluation Treatment questions for doctor specialist Home Care cough in adults cough in children pain and fever adults pain and fever children warning signs wheezing Prevention Complications Underlying Cause Anatomy

CMV Pneumonia Home Care

Home care for cytomegalovirus pneumonia includes:

CMV Pneumonia Cough in Adults

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

  • Avoid respiratory irritants, such as pollution, pollen, mold, dust and chemical fumes.
  • Change A/C and furnace filters regularly.
  • Stop smoking
  • 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:

CMV Pneumonia Cough in Children

Home treatment of a cough in children with cytomegalovirus 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:

CMV Pneumonia Pain and Fever Adults

Medications commonly used to control pain and fever in adults with cytomegalovirus 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

CMV Pneumonia Pain and Fever Children

Common medications used at home for pain and fever in children with cytomegalovirus 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

CMV Pneumonia Warning Signs

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

CMV Pneumonia Wheezing

Home care for mild wheezing in someone with cytomegalovirus 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 CMV Pneumonia Prevention

Last Updated: Feb 15, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
Copyright DSHI Systems, Inc. Powered by: FreeMD - Your Virtual Doctor

PubMed CMV Pneumonia References
  1. Griffiths PD, Walter S. Cytomegalovirus. Curr Opin Infect Dis. 2005 Jun;18(3):241-5. [15864102]
  2. Ljungman P. Cytomegalovirus pneumonia: presentation, diagnosis, and treatment. Semin Respir Infect. 1995 Dec;10(4):209-15. [8668848]
  3. Salomon N, Perlman DC. Cytomegalovirus pneumonia. Semin Respir Infect. 1999 Dec;14(4):353-8. [10638515]
FreeMD is provided for information purposes only and should not be used as a substitute for evaluation and treatment by a physician. Please review our terms of use.