Stephen J. Schueler, M.D.

Infection of the Bronchial Tubes 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 Infection of the Bronchial Tubes Chronic Prevention

Last Updated: Dec 7, 2010 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 Infection of the Bronchial Tubes 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]
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.