Stephen J. Schueler, M.D.

Overview Incidence Symptoms Evaluation Treatment questions for doctor specialist Home Care cough in adults cough in children warning signs Underlying Cause

Smoke Inhalation Cough in Children

Home treatment of a cough in a child with smoke inhalation 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:

Continue to Smoke Inhalation Warning Signs

Last Updated: Nov 8, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Smoke Inhalation References
  1. Bakand S, Winder C, Khalil C, Hayes A. Toxicity assessment of industrial chemicals and airborne contaminants: transition from in vivo to in vitro test methods: a review. Inhal Toxicol. 2005 Dec 1;17(13):775-87. [16195213]
  2. Ballesteros MF, Jackson ML, Martin MW. Working toward the elimination of residential fire deaths: the Centers for Disease Control and Prevention's Smoke Alarm Installation and Fire Safety Education (SAIFE) program. J Burn Care Rehabil. 2005 Sep-Oct;26(5):434-9. [16151290]
  3. Meshulam-Derazon S, Nachumovsky S, Ad-El D, Sulkes J, Hauben DJ. Prediction of morbidity and mortality on admission to a burn unit. Plast Reconstr Surg. 2006 Jul;118(1):116-20. [16816682]
  4. Prien T, Traber DL. Toxic smoke compounds and inhalation injury--a review. Burns Incl Therm Inj. 1988 Dec;14(6):451-60. Review. [2855039]
  5. Thompson JT, Molnar JA, Hines MH, Chang MC, Pranikoff T. Successful management of adult smoke inhalation with extracorporeal membrane oxygenation. J Burn Care Rehabil. 2005 Jan-Feb;26(1):62-6. [15640737]
  6. Wright MJ, Murphy JT.Smoke inhalation enhances early alveolar leukocyte responsiveness to endotoxin. J Trauma. 2005 Jul;59(1):64-70. [16096540]
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