Stephen J. Schueler, M.D.

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

Legionnaire's Disease Home Care

Home care for Legionnaire's disease includes:

Legionnaire's Disease Cough

Home treatment of a cough in adults with Legionnaire's disease includes:

  • Avoid respiratory irritants, such as pollution, pollen, mold, dust and chemical fumes
  • Change A/C and furnace filters regularly.
  • Do not smoke and 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:

Home treatment of a cough in children 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:

Legionnaire's Disease Pain and Fever

Medications commonly used to control pain and fever in adults with Legionnaire's disease 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

Legionnaire's Disease Warning Signs

Notify your doctor if you have Legionnaire's disease and any of the following:

Continue to Legionnaire's Disease Prevention

Last Updated: Mar 7, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Legionnaire's Disease References
  1. Campins M, Ferrer A, Callis L, Pelaz C, Cortes PJ, Pinart N, Vaque J. Nosocomial Legionnaire's disease in a children's hospital. Pediatr Infect Dis J. 2000 Mar;19(3):228-34. [10749465]
  2. Lane G, Ferrari A, Dreher HM. Legionnaire's disease: a current update. Medsurg Nurs. 2004 Dec;13(6):409-14. [15714745]
  3. Tercelj-Zorman M, Seljak M, Stare J, Mencinger J, Rakovec J, Rylander R, Strle F. A hospital outbreak of Legionella from a contaminated water supply. Arch Environ Health. 2004 Mar;59(3):156-9. [16121906]
  4. Waterer GW, Baselski VS, Wunderink RG. Legionella and community-acquired pneumonia: a review of current diagnostic tests from a clinician's viewpoint. Am J Med. 2001 Jan;110(1):41-8. [11152864]
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